ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
Which of the following is the medication of choice for anaphylaxis that the nurse should anticipate would be ordered?
Correct Answer: A
Rationale: Epinephrine is the medication of choice for anaphylaxis. Anaphylaxis is a severe and potentially life-threatening allergic reaction that can lead to a rapid drop in blood pressure, airway constriction, and other serious symptoms. Epinephrine acts quickly to reverse these symptoms by constricting blood vessels, relaxing the muscles in the airways, and increasing heart rate. It is administered via an auto-injector device, such as an EpiPen, in cases of severe allergic reactions. Other medications, such as antihistamines and corticosteroids, may be given as adjunct therapy, but epinephrine is the first-line treatment for anaphylaxis. Thus, the nurse should anticipate that epinephrine would be ordered for a patient experiencing anaphylaxis.
Question 2 of 5
Which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for developmental delay?
Correct Answer: A
Rationale: By 15 to 18 months, most toddlers should be walking independently. An 18-month-old who is not yet walking warrants further evaluation.
Question 3 of 5
Nurse Analiza is administering a medication via the intraosseous route to a child. Intraosseous drug administration is typically used when a child is:
Correct Answer: C
Rationale: Intraosseous drug administration is typically reserved for pediatric patients who are critically ill and under the age of 3. This route is chosen when intravenous access cannot be readily established or when the patient is in urgent need of medication administration. Young children have easily accessible bone marrow spaces, making intraosseous administration a quick and effective means of delivering medications in emergency situations. Older children tend to have more developed vasculature, making it easier to establish intravenous access in those cases.
Question 4 of 5
A 2-year-old male child has an asymptomatic right flank mass discovered incidentally by the mother while bathing. Suspicion of Wilms tumor is raised. Of the following, the LEAST likely investigation to be performed in this child is
Correct Answer: D
Rationale: Biopsy is generally avoided in suspected Wilms tumor to prevent upstaging the disease.
Question 5 of 5
Which should the nurse recommend for the diet of a child with chronic renal failure?
Correct Answer: C
Rationale: For a child with chronic renal failure, it is important to recommend a diet that is low in phosphorus. In chronic renal failure, the kidneys have difficulty filtering phosphorus from the blood, leading to high levels of phosphorus in the body. High phosphorus levels can contribute to bone problems and other complications in renal failure patients. By recommending a diet low in phosphorus, the nurse can help manage the child's condition and reduce the risk of further complications. It is also important to monitor other electrolyte levels such as calcium, potassium, and sodium, and adjust the diet accordingly to maintain proper balance.