ATI RN
Essential of Pediatric Nursing Test Bank Questions
Question 1 of 5
Which of the following is MOST likely considered a risk factor for extraneural metastasis in primary brain tumors?
Correct Answer: A
Rationale: Younger age is a significant risk factor for extraneural metastasis in pediatric brain tumors.
Question 2 of 5
When performing a newborn assessment, the nurse should measure the vital signs in the following sequence:
Correct Answer: A
Rationale: When performing a newborn assessment, it is important to measure the vital signs in the sequence of pulse, respirations, and temperature. This sequence is recommended because measuring the pulse first provides immediate information on the baby's cardiovascular status, followed by respirations to assess respiratory function, and ending with temperature which can be influenced by the other vital signs. This comprehensive approach helps ensure all vital signs are assessed accurately and in a logical order.
Question 3 of 5
The laboratory results of a patient with disseminated intravascular coagulation are likely to include:
Correct Answer: D
Rationale: DIC leads to prolonged clotting times due to consumption of clotting factors and platelets.
Question 4 of 5
Which laboratory results (besides hematuria) are most consistent with hemolytic uremic syndrome (HUS)?
Correct Answer: C
Rationale: HUS typically presents with mild proteinuria along with increased BUN and creatinine, reflecting impaired renal function.
Question 5 of 5
The nurse is assessing a 3-month-old during a well-baby visit. Which of the following findings would warrant the nurse to recommend that the baby have an ultrasound for a possible diagnosis of developmental dysplasia of the hip (DDH)?
Correct Answer: B
Rationale: Developmental dysplasia of the hip (DDH) is a condition where the hip joint does not develop normally. It is important to detect DDH early in infants as it can lead to long-term hip problems. One of the key physical exam findings that may suggest DDH is unequal knee heights when the infant's legs are flexed. This is known as the Galeazzi sign, and it can indicate hip dysplasia or dislocation. Therefore, if a nurse observes this finding during an assessment of a 3-month-old infant, it would warrant recommending an ultrasound to further evaluate for possible DDH. Bilateral plantar flexion, bilateral polydactyly, and a positive Babinski test are not typically associated with DDH.