ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 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 2 of 5
The physician prescribes didanosone (ddl [Videx]), 200mg PO every 12 hours, for a client with acquired immunodeficiency syndrome (AIDS) who is intolerant to zidovudine (azidothymidine ,AZT [Retrovir]). Which condition in the client's history warrants cautious of this drug?
Correct Answer: A
Rationale: Didanosine (ddl or Videx) is an antiretroviral medication used in the treatment of HIV/AIDS. However, one of the notable side effects of didanosine is peripheral neuropathy, which can manifest as tingling, numbness, or pain in the hands and feet. Since the client already has a history of peripheral neuropathy, prescribing didanosine may exacerbate this condition, making it important for the healthcare provider to exercise caution. Monitoring for any signs or symptoms of worsening peripheral neuropathy is essential in this case.
Question 3 of 5
Poor prognostic factors in Hodgkin lymphoma include all the following EXCEPT
Correct Answer: A
Rationale: Older age is generally considered a poor prognostic factor, but not necessarily worse than other listed options.
Question 4 of 5
After receiving an immunization for pediatric diphtheria, tetanus, and acellular pertussis (DTaP), a patient develops swelling and tenderness at the injection site, a low-grade fever, and malaise. The pediatric nurse informs the patient's parents that:
Correct Answer: B
Rationale: Mild reactions like swelling, tenderness, low-grade fever, and malaise are common after DTaP vaccination and can be managed with supportive care.
Question 5 of 5
Wilma knew that James have an adequate respiratory condition if she notices that
Correct Answer: A
Rationale: An adequate respiratory condition can be indicated by a normal respiratory rate. The normal adult respiratory rate typically ranges from 12 to 20 breaths per minute. In this case, if James' respiratory rate is 18, it falls within the normal range and would suggest that his respiratory condition is adequate. Oxygen saturation levels and the presence of blood suction or secretions are important factors to consider as well, but directly assessing the respiratory rate provides a more immediate indication of respiratory status.