Extract:

A nurse is caring for a child who has been diagnosed with malignant neuroblastoma.

Question 1 of 5

Which of the following findings should the nurse expect?

A. The tumor is located in the lower back of the brain in the midline posterior fossaB. The tumor originated in the adrenal glandsC. The tumor has not spread to other areas of the child's bodyD. The tumor came from malformation of astrocyte glial brain cells

Correct Answer: B

Rationale: Neuroblastoma typically originates in the adrenal glands, often metastasizing.

Extract:

The nurse is providing teaching to the parents of a school-aged child newly diagnosed with Crohn's disease about dietary measures during an exacerbation.

Question 2 of 5

Which statement made by the parents indicates a need for further instruction?

A. We will avoid giving our child any dairy products during an exacerbationB. We will make sure our child eats plenty of fruits and vegetables during an exacerbationC. We will increase our child's intake of high-fiber foods, such as whole grains and legumesD. We will encourage our child to drink plenty of fluids, especially water

Correct Answer: B

Rationale: Fruits and vegetables may irritate the gut during Crohn's exacerbation, requiring dietary caution.

Extract:

A nurse is educating a family about bleeding disorders while they await the results of their child's laboratory testing.

Question 3 of 5

Which statements accurately describe the differences in causes of hemophilia A, hemophilia B, and von Willebrand disease? Select all that apply.

A. Hemophilia A is a result of insufficient or absent factor VIIIB. Von Willebrand disease is a disorder that occurs because of excess production of von Willebrand FactorC. Hemophilia B results from insufficient or absent factor IXD. Von Willebrand disease is a disorder that occurs because of absent or insufficient von Willebrand FactorE. Hemophilia A is a result of insufficient or absent fibrinogen

Correct Answer: A,C,D

Rationale: Hemophilia A lacks factor VIII, B lacks factor IX, and von Willebrand disease involves deficient von Willebrand Factor.

Extract:

A nurse is caring for a child who has been diagnosed with bacterial meningitis.

Question 4 of 5

Which of the following should the nurse monitor in the child? Select all that apply.

A. Manifestations that could indicate a sepsis infectionB. Long-term effects that result from a prolonged recoveryC. Blood pressure that could indicate hypertensionD. Heart problems that result from cardiac dysfunctionE. A decrease in body temperature as a sign of bacterial meningitis progression

Correct Answer: A,B,C

Rationale: Monitor for sepsis, long-term complications, and hypertension due to ICP risks.

Extract:

A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis.

Question 5 of 5

Which of the following actions should the nurse include in the plan of care?

A. Hold the infant's chin to his chest and knees to his abdomen during the procedureB. No sedation is needed, due to application of anesthetic creamC. Apply an anesthetic mixture of lidocaine and prilocaine cream topically 15 min prior to the procedureD. Keep the infant NPO for 6 hr prior the procedure

Correct Answer: A

Rationale: The fetal position facilitates lumbar puncture by opening intervertebral spaces.

Nurselytic

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ATI Nurs 335 Pediatrics Exam Questions

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