ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
Which nursing action is most appropriate for the weak patient with osteoporosis?
Correct Answer: B
Rationale: For a weak patient with osteoporosis, it is important to promote mobility and weight-bearing activities to help maintain bone strength and prevent further bone loss. Ambulating with assistance can help improve muscle strength and balance, reducing the risk of falls and fractures. Maintaining bedrest can lead to further weakness and bone loss, so it is not the most appropriate action in this case. Encouraging fluids and providing a high-protein diet are important for overall health and healing but might not directly address the specific needs of a weak patient with osteoporosis.
Question 2 of 5
Which nursing action is most appropriate for the weak patient with osteoporosis?
Correct Answer: B
Rationale: For a weak patient with osteoporosis, it is important to promote mobility and weight-bearing activities to help maintain bone strength and prevent further bone loss. Ambulating with assistance can help improve muscle strength and balance, reducing the risk of falls and fractures. Maintaining bedrest can lead to further weakness and bone loss, so it is not the most appropriate action in this case. Encouraging fluids and providing a high-protein diet are important for overall health and healing but might not directly address the specific needs of a weak patient with osteoporosis.
Question 3 of 5
A nurse approaches a hospitalized poststroke patient from the patient's left side to do an assessment. The patient is staring straight ahead, and does not respond to the nurse's presence or voice. Which action should the nurse take first?
Correct Answer: A
Rationale: The nurse should walk to the other side of the bed and approach the patient from the right side. Poststroke patients may have neglect syndrome, which can cause them to ignore stimuli on one side of their body. By approaching from the neglected side (the right side in this case), the nurse may be able to better capture the patient's attention and engage them in the assessment process. It is essential to adapt care to accommodate the patient's condition and ensure effective communication and interaction.
Question 4 of 5
An adult has a central venous line. Which of the following should the nurse include in the plan of care?
Correct Answer: D
Rationale: An adult with a central venous line should include monitoring for any signs of infection, air embolus, and leakage or puncture in the plan of care. Central venous lines carry a risk of complications such as infection, air embolism, and mechanical issues like leakage or puncture. These complications can be serious and require immediate attention to prevent further harm to the patient. Regular monitoring and assessment for these potential issues are crucial in providing safe care for a patient with a central venous line. Other options (A, B, C) may be important in the overall care but monitoring for complications is the priority.
Question 5 of 5
A nurse is assessing a child and notes Koplik spots. In which of these communicable diseases are Koplik spots present?
Correct Answer: B
Rationale: Koplik spots are small white spots with a bluish-white center on the buccal mucosa (inside the cheeks). They are a characteristic finding in measles (rubeola) and are considered an early sign of the disease. Measles is a highly contagious viral infection that primarily affects children. In addition to Koplik spots, other symptoms of measles include fever, cough, runny nose, and a characteristic rash that typically starts on the face and spreads to the rest of the body. Vaccination is an effective way to prevent measles and its complications.