ATI RN
Essential of Pediatric Nursing Test Bank Questions
Question 1 of 5
Which of the ff. statements, if made by a patient with hypertension, indicates to a nurse a need for more teaching?
Correct Answer: C
Rationale: Option C, "Medication will no longer be needed when I feel better," indicates a need for more teaching by the nurse. This statement shows a misunderstanding regarding hypertension management. Hypertension is a chronic condition that often requires long-term treatment with medications even if the patient feels better. The patient should be educated on the importance of continued medication adherence to effectively manage their hypertension and prevent complications. Options A, B, and D demonstrate understanding of hypertension and its management, indicating that more teaching is not necessary in those areas.
Question 2 of 5
A patient was rushed to the ER because of difficulty in urination. He was diagnosed then as a cse of benign prostate hyperthropy (BPH) and was advised by the doctor to undego transurethral resection of prostate (TURP). Based on the urgency of the surgery, the nurse classifies this condition as:
Correct Answer: B
Rationale: Transurethral resection of prostate (TURP) is a surgical procedure commonly performed to treat benign prostatic hyperplasia (BPH) that is causing significant symptoms such as difficulty urinating. In this case, the patient was rushed to the ER due to the difficulty in urination, which indicates that the condition is causing acute distress and requires prompt intervention. Since the surgery was advised urgently by the doctor, the nurse classifies this condition as urgent. An urgent procedure is one that is necessary within a relatively short time frame to prevent complications or alleviate acute distress, but it is not an emergency that requires immediate intervention.
Question 3 of 5
Between 2-6 months of life, all are true about infant sleep EXCEPT
Correct Answer: D
Rationale: Infant sleep cycles are shorter and differ from adult patterns.
Question 4 of 5
What is most likely the underlying physiology of primary enuresis?
Correct Answer: B
Rationale: Primary enuresis refers to involuntary wetting during sleep in children who have never been consistently dry at night. The most likely underlying physiology of primary enuresis is delayed bladder maturation. This means that the child's bladder is not yet able to hold urine for the entire night, leading to bedwetting episodes. As children age, their bladder capacity increases and their ability to remain dry at night improves. In most cases, primary enuresis resolves on its own as the child's bladder matures. It is important for parents and caregivers to provide support and reassurance to the child during this time.
Question 5 of 5
A child with thalassemia was given deferoxamine (Desferal); which of the following should alert the nurse to notify the physician?
Correct Answer: A
Rationale: Deferoxamine is a chelating agent used to treat iron overload in patients such as those with thalassemia. One of the serious side effects of deferoxamine is ototoxicity, which can manifest as decreased hearing or ringing in the ears. Therefore, if a child with thalassemia who is taking deferoxamine experiences a decrease in hearing, the nurse should promptly notify the physician for further evaluation and possible adjustment of the treatment plan to prevent further hearing damage. Hypertension, red urine, and vomiting are possible side effects of deferoxamine, but decreased hearing is the most concerning side effect that requires immediate attention due to the risk of permanent damage.