ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
Which of the ff nursing interventions may reduce hemostasis and decrease the potential for thrombophlebitis for a client with a neurologic disorder?
Correct Answer: B
Rationale: Keeping the extremities at a neutral position for a client with a neurologic disorder can help reduce hemostasis and decrease the potential for thrombophlebitis. This positioning helps maintain proper blood flow and prevents excessive pressure on the veins, which can lead to blood clots. Removing and reapplying elastic stockings, changing the client's position, and using a flotation mattress may have their own benefits, but in this case, keeping the extremities at a neutral position is the most direct and effective intervention to address the issue of hemostasis and thrombophlebitis for a client with a neurologic disorder.
Question 2 of 5
A preterm newborn, after spending 8 weeks in the NICU, is being discharged. The parents of the newborn express apprehension and worry that the newborn may still be in danger. How should the nurse interpret these statements?
Correct Answer: A
Rationale: It is normal for parents of preterm newborns who have spent time in the NICU to express apprehension and worry upon discharge. The NICU experience can be stressful and overwhelming for families, and it is common for parents to feel anxious about taking their newborn home. The nurse should provide support and education to help alleviate the parents' concerns and ensure a smooth transition from the hospital to home. It is important to acknowledge the parents' feelings, offer reassurance, and reinforce the importance of follow-up care and monitoring.
Question 3 of 5
Hypernatremia is associated with a:
Correct Answer: C
Rationale: Hypernatremia is defined as an elevated serum sodium level above 145mEq/L. In this case, a serum sodium level of 150mEq/L indicates hypernatremia. The other options, serum osmolality of 245mOsm/kg and urine specific gravity below 1.003, are not specific criteria for the diagnosis of hypernatremia. The primary marker used for diagnosing hypernatremia is an elevated serum sodium level.
Question 4 of 5
A 9-mo-old infant is recently diagnosed with bilateral retinoblastoma; examination under anesthesia reveals bilateral multifocal involvement of the retina. An important next step in the management is
Correct Answer: B
Rationale: Retinal examination of first-degree relatives is crucial to identify hereditary forms of retinoblastoma.
Question 5 of 5
The first thing to do for a nurse when an accident occurs is to find out if patient is conscious so that she could:
Correct Answer: A
Rationale: The first thing a nurse should do when an accident occurs is to assess the patient's level of consciousness. This is important to determine the patient's immediate medical needs and to ensure the patient's safety. By checking if the patient is conscious, the nurse can assess the patient's alertness and responsiveness, which will help in providing appropriate care. Reassuring the patient is crucial to help calm them down and provide comfort in a stressful situation. Once the nurse has established the patient's level of consciousness, they can then proceed with necessary medical interventions such as contacting a doctor or bringing the patient to the hospital if needed.