ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 5
The nurse is aware that a healthy newborn's respirations are:
Correct Answer: B
Rationale: A healthy newborn's respirations are typically irregular, abdominal, with a rate of 30-60 per minute, and tend to be shallow. Newborns have immature respiratory centers in their brain, leading to irregular breathing patterns compared to adults. Their breathing is usually abdominal due to their diaphragmatic breathing pattern. The normal respiratory rate for a newborn can fluctuate between 30-60 breaths per minute, with shallow breathing being characteristic of their physiology. Regular shallow breathing with occasional periods of apnea is considered normal in newborns and should not be a cause for concern.
Question 2 of 5
The nurse is aware that the most common assessment finding in a child with ulcerative colitis is:
Correct Answer: B
Rationale: Profuse diarrhea is the most common assessment finding in a child with ulcerative colitis. Ulcerative colitis is a type of inflammatory bowel disease that primarily affects the colon and rectum. It causes inflammation and ulcers in the lining of the colon, leading to symptoms such as frequent and urgent bowel movements, abdominal pain, and bloody diarrhea. The diarrhea in ulcerative colitis is typically watery and can be very severe, often leading to dehydration and electrolyte imbalances. Intense abdominal cramps, anal fissures, and abdominal distention can also be present in ulcerative colitis, but profuse diarrhea is the hallmark symptom that is commonly seen in affected children.
Question 3 of 5
An inborn error of metabolism that causes a premature destruction of RBC?
Correct Answer: A
Rationale: Glucose-6-phosphate dehydrogenase (G6P
D) deficiency is an inborn error of metabolism that leads to the premature destruction of red blood cells (hemolysis). G6PD is an enzyme responsible for protecting red blood cells from oxidative damage. In individuals with G6PD deficiency, the red blood cells are more susceptible to oxidative stress, leading to their destruction and resulting in hemolytic anemia. This condition is commonly triggered by certain medications, infections, or dietary factors that cause oxidative stress, leading to hemolysis. Homocystinuria, Phenylketonuria, and Celiac Disease are metabolic disorders that do not typically result in the premature destruction of red blood cells.
Question 4 of 5
The nurse is aware that the following laboratory values support a diagnosis of pyelonephritis?
Correct Answer: C
Rationale: Pyelonephritis is a bacterial infection of the kidney. One of the key indicators of pyelonephritis is the presence of pyuria, which refers to white blood cells in the urine. White blood cells in the urine suggest inflammation and infection in the urinary tract, particularly in the kidneys.
Therefore, the presence of pyuria supports a diagnosis of pyelonephritis. Myoglobinuria (choice
A) is the presence of myoglobin in the urine and is associated with muscle breakdown, not specifically with pyelonephritis. Ketonuria (choice
B) refers to the presence of ketones in the urine and may be seen in conditions such as diabetic ketoacidosis. A low white blood cell count (choice
D) is not typically associated with pyelonephritis, as an infection would generally result in an elevated white blood cell count in response to the infection.
Question 5 of 5
Arvic who is diagnosed with diabetes mellitus type 1 displays symptoms of hypoglycemia; which of the following actions should the nurse instruct the parents?
Correct Answer: A
Rationale: In a patient with diabetes mellitus type 1 showing symptoms of hypoglycemia, it is important to take immediate action to raise their blood sugar levels. The best way to quickly raise blood sugar levels in a hypoglycemic patient is by giving them a simple sugar, such as honey, fruit juice, or glucose tablets. These sugars are rapidly absorbed into the bloodstream, providing a quick source of energy to the body. Milk, which was mentioned in option B, contains complex sugars and fats that may delay the increase in blood sugar levels. It is crucial to act promptly in a hypoglycemic situation, as untreated hypoglycemia can lead to serious complications, including seizures and loss of consciousness. Contacting the healthcare provider before giving treatment, as in option C, may cause dangerous delays in addressing the low blood sugar situation. Option D, giving the child nothing by mouth, is not appropriate in this scenario as it can wors