ATI RN
Pediatric Research Questions Questions
Question 1 of 5
Which statement is correct about childhood obesity?
Correct Answer: A
Rationale: Heredity is an important factor in the development of obesity. While lifestyle and environmental factors play a significant role in the development of obesity, genetics also play a crucial role. Research has shown that children with parents who are obese are more likely to be obese themselves. Genes can influence a person's metabolism, the way their body stores fat, and even their food preferences, making them more susceptible to obesity. However, it's important to note that heredity is just one factor, and obesity often results from a complex interaction between genetic, environmental, and lifestyle factors.
Question 2 of 5
Which is included in the diet of a child with minimal change nephrotic syndrome?
Correct Answer: B
Rationale: In children with minimal change nephrotic syndrome, it is important to include salt restriction in the diet. Salt restriction helps in managing edema by reducing fluid retention in the body. Excessive salt intake can contribute to fluid retention and edema in these patients. This dietary modification can help in controlling symptoms and managing the condition effectively. Other considerations for the diet may include monitoring protein intake to prevent complications related to kidney function.
Question 3 of 5
The nurse is conducting teaching for an adolescent being discharged to home after a renal transplant. The adolescent needs further teaching if which statement is made?
Correct Answer: B
Rationale: The statement "I am glad I only have to take the immunosuppressant medication for two weeks" indicates a misunderstanding about the long-term nature of immunosuppressant therapy following a renal transplant. In reality, individuals who undergo a renal transplant need to take immunosuppressant medications for the rest of their lives to prevent rejection of the donor kidney. Failure to adhere to this medication regimen can result in rejection of the transplanted kidney. Therefore, this statement indicates a need for further teaching to ensure the adolescent understands the importance of lifelong immunosuppressant therapy.
Question 4 of 5
A nurse is preparing to administer an angiotensin-converting enzyme (ACE) inhibitor. Which drug should the nurse administer?
Correct Answer: A
Rationale: Angiotensin-converting enzyme (ACE) inhibitors, such as captopril, work by inhibiting the conversion of angiotensin I to angiotensin II. This leads to vasodilation, reduced aldosterone secretion, and ultimately decreases blood pressure. ACE inhibitors are commonly used in the management of hypertension, heart failure, and post-myocardial infarction. In this case, the nurse should administer captopril as it is an ACE inhibitor, while the other options (B. Furosemide, C. Spironolactone, D. Chlorothiazide) are not ACE inhibitors and have different mechanisms of action.
Question 5 of 5
The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to implement?
Correct Answer: D
Rationale: Therapeutic management for rheumatic fever includes administering penicillin to eradicate the streptococcal infection, avoiding salicylates (aspirin) to prevent Reye's syndrome, and imposing strict bed rest for the acute phase to decrease cardiac workload and prevent joint complications. Corticosteroids are used if chorea (involuntary movement disorder) develops to reduce inflammation and control symptoms. Therefore, the nurse should expect to administer corticosteroids if chorea develops in a child with rheumatic fever.