ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
Which of the ff instructions should a nurse give a client with Hodgkin's disease who is at risk of impaired skin integrity? Choose all that apply
Correct Answer: B
Rationale: In pediatric nursing, caring for a child with Hodgkin's disease requires a comprehensive approach to prevent complications like impaired skin integrity. The correct instruction for the client at risk is to keep the neck in midline (Option B). This is crucial as it helps maintain proper alignment of the spine, reducing pressure on the skin and preventing breakdown. Placing the neck off midline can lead to increased pressure on certain areas, which can compromise skin integrity. Trimming nails short (Option A) is essential to prevent accidental scratches or injuries, but it is not directly related to preventing impaired skin integrity in this context. Using mild soap (Option C) is a good practice for skin care, but it does not specifically address the risk of impaired skin integrity in a client with Hodgkin's disease. Supporting and protecting bony prominences (Option D) is important for preventing pressure ulcers, but it is not as directly related to maintaining skin integrity in this scenario as keeping the neck in midline. Educationally, it is vital for nurses to understand the specific needs of pediatric clients with Hodgkin's disease and the importance of interventions that can prevent complications such as impaired skin integrity. By focusing on maintaining proper alignment and reducing pressure on vulnerable areas, nurses can provide optimal care for these patients.
Question 2 of 5
A 35-year-old female client is requesting information about mammograms and breast cancer. She isn't considered at high risk for breast cancer. What should the nurse tell this client?
Correct Answer: D
Rationale: According to the American Cancer Society guidelines, women with average risk for breast cancer should start getting mammograms every 2 years starting at age 40. Since the client is not considered at high risk for breast cancer, this recommendation applies to her. Regular mammograms are important for early detection of breast cancer, even in those at average risk. It is also important for the client to perform monthly breast self-exams and report any changes or concerns to her healthcare provider.
Question 3 of 5
A client receiving chemotherapy has a nursing diagnosis of Deficient diversional activity related to decreased energy. Which statement indicates an accurate understanding of appropriate ways to deal with this deficit?
Correct Answer: A
Rationale: Option A, "I'll play card games with my friends," indicates an accurate understanding of appropriate ways to deal with the deficit of deficient diversional activity related to decreased energy. Playing card games with friends can provide a social and mentally stimulating activity that can be easily modified based on the client's energy levels. It also promotes social interaction and emotional support, which are important aspects of diversional activities for individuals undergoing chemotherapy. This option aligns well with addressing the nursing diagnosis by engaging in a low-energy but potentially enjoyable activity that can help combat feelings of isolation and boredom.
Question 4 of 5
A client with advanced breast cancer is prescribed tamoxifen (Nolvadex). When teaching the client about this drug, the nurse should emphasize the importance of reporting which adverse reaction immediately?
Correct Answer: A
Rationale: Tamoxifen (Nolvadex) is associated with the potential side effect of retinopathy, which can present as changes in vision. Retinopathy is a serious condition that can lead to vision loss. Therefore, it is crucial for the client to report any vision changes immediately to their healthcare provider for further evaluation and management. Reporting this adverse reaction promptly can help prevent serious complications and ensure the client's safety and well-being.
Question 5 of 5
Cancer is the second major cause of death in this country. What is the first step toward effective cancer control?
Correct Answer: B
Rationale: The first step toward effective cancer control is changing habits and customs that predispose individuals to cancer. Prevention is key in reducing the incidence of cancer. By addressing factors like smoking, poor diet, lack of physical activity, excessive alcohol consumption, and exposure to carcinogens in the environment, the risk of developing cancer can be significantly reduced. Education and awareness play a crucial role in encouraging individuals to adopt healthier lifestyles and behaviors to minimize their cancer risk. While screening and early detection are also important aspects of cancer control, prevention through lifestyle modifications is the fundamental strategy in reducing the burden of cancer in the population.