ATI RN
Pediatric Research Questions Questions
Question 1 of 5
Which of the ff would describe the discomfort experienced by a client with a tension headache?
Correct Answer: B
Rationale: Tension headaches are commonly described as a sensation of pressure, tightness, or steady constriction around the head. This discomfort is usually felt on both sides of the head, rather than being localized to one specific area. Unlike migraines which may have a pulsating or throbbing quality, tension headaches are characterized by a continuous dull ache. Sensitivity to light (photophobia) and vague headaches are more commonly associated with migraines, not tension headaches. Temporary unilateral paralysis and peri orbital pain are not typical symptoms of tension headaches.
Question 2 of 5
A spica cast was put on Baby Betty after an unfortunate incident to immobilize her hips and thighs; which of the following is the priority nursing action immediately after application?
Correct Answer: D
Rationale: Performing neurovascular checks is the priority nursing action immediately after applying a spica cast on Baby Betty. A spica cast is used to immobilize the hips and thighs, which can affect circulation and nerve function in the lower extremities. Neurovascular checks involve assessing the circulation, sensation, and movement of the affected limb to ensure there are no signs of impaired circulation or nerve damage. It is crucial to monitor for any signs of compartment syndrome, such as pain, numbness, tingling, or decreased pulse, which could indicate a vascular compromise. Timely identification of any neurovascular compromise is essential to prevent complications and ensure the baby's safety and well-being.
Question 3 of 5
A one month old infant is admitted for confirmation of the diagnosis of ventricular septal defect. During the initial admission assessment, the nurse would expect to find:
Correct Answer: D
Rationale: A ventricular septal defect (VSD) is a congenital heart defect where there is an abnormal opening between the two ventricles of the heart. One of the hallmark signs of VSD is the presence of a murmur, specifically a holosystolic murmur, which is typically heard best at the left sternal border due to the turbulent blood flow through the defect. This murmur is a key finding during the initial assessment of a patient with a suspected VSD. Other common symptoms of VSD include poor feeding, failure to thrive, tachypnea, and frequent respiratory infections.
Question 4 of 5
A male client recently underwent a surgical procedure for a malignant tumor. As a result of the surgery, his urine is diverted to a stomal pouch. What should the nurse suggest so that he remains odor free.
Correct Answer: B
Rationale: Drinking cranberry juice can help decrease the odor of urine due to its acidic nature. The acid in cranberry juice can help neutralize odors in the urine, making it less noticeable. In contrast, consuming spicy foods (choice A) can actually increase the odor of urine. Similarly, choices C and D (eating eggs, asparagus, or cheese; drinking tea, coffee, and colas) can contribute to stronger-smelling urine due to the compounds they contain. Therefore, recommending cranberry juice to the male client with a stomal pouch is the most appropriate choice to help him remain odor-free.
Question 5 of 5
The American Academy of Pediatrics recommends the use of validated standardized developmental screening tools at three of the health maintenance visits, these are at
Correct Answer: C
Rationale: Developmental screenings are recommended at 9, 18, and 30 months.