ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
Which is the most common causative agent of bacterial endocarditis?
Correct Answer: D
Rationale: Streptococcus viridans is the most common causative agent of bacterial endocarditis. This group of bacteria consists of various species, including S. sanguinis and S. mutans, which normally reside in the oral cavity and are commonly associated with endocarditis following dental procedures. Streptococcus viridans can enter the bloodstream due to dental work, oral infections, or trauma to the oral tissues, and cause infective endocarditis by adhering to damaged heart valves or endocardium. Staphylococcus aureus and Enterococcus species are other common pathogens associated with endocarditis, but Streptococcus viridans remains the most prevalent causative agent.
Question 2 of 5
A clinic nurse is planning a teaching session about childhood obesity prevention for parents of school-age children. The nurse should include which associated risk of obesity in the teaching plan?
Correct Answer: D
Rationale: Childhood obesity is strongly associated with an increased risk of developing Type II diabetes. When children are obese, their body's ability to utilize insulin properly can become compromised, leading to insulin resistance and eventually the development of Type II diabetes. This chronic condition can have serious long-term health consequences if not properly managed, making it crucial for parents to understand the link between childhood obesity and Type II diabetes in order to prevent or address it early on.
Question 3 of 5
The nurse is assessing a newborn who had undergone vaginal delivery. Which of the following findings is least likely to be observed in a normal newborn?
Correct Answer: D
Rationale: The heart rate of a normal newborn is typically 120 to 160 bpm. Therefore, a heart rate of 80 bpm would be least likely to be observed in a normal newborn. This finding may indicate bradycardia, which should be further evaluated and managed by the healthcare provider. Other options such as an uneven head shape, irregular respirations, (+) Moro reflex are common and expected in newborns.
Question 4 of 5
The nurse is teaching the parents of a child with developmental dysplasia of the hip (DDH) regarding the application of the Pavlik harness. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct information that the nurse should include in the teaching is that clothing should always fit loosely over the harness. This is important to prevent restriction of movement and ensure comfort for the child wearing the Pavlik harness. Tight clothing can cause discomfort, skin irritation, and interfere with the effectiveness of the harness in positioning the hip properly. Parents should be advised to choose clothing that is loose-fitting and does not put pressure on the harness or the child's skin.
Question 5 of 5
Which medication is most likely included in post-operative care of a child with repair of bladder exstrophy?
Correct Answer: D
Rationale: Oxybutynin helps control bladder spasms and improves comfort after urinary reconstructive surgery.