ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 of 5
Which of the following symptoms most likely indicates that an infusion is infiltrated?
Correct Answer: C
Rationale: Puffiness at the site is the symptom that most likely indicates that an infusion is infiltrated. Infiltration occurs when the IV fluid leaks into the surrounding tissues instead of entering the vein. This can lead to swelling and puffiness at the site as the fluid accumulates in the tissue. Redness, pain, and exudate at the site are also common signs of infiltration, but puffiness specifically points towards the fluid accumulating outside the vein. If infiltration is suspected, it is important to stop the infusion, remove the IV catheter, and apply appropriate treatment based on the severity of the infiltration.
Question 2 of 5
The physician prescribes glipizide (Glucotrol), an oral antidiabetic agent, for a client with type 2 diabetes mellitus who has been having trouble controlling the blood glucose level through diet and exercise. Which medication instruction should the nurse provide?
Correct Answer: A
Rationale: A. "Be sure to take glipizide 30 minutes before meals."
Question 3 of 5
Building a tower by a 22-month-old child requires
Correct Answer: A
Rationale:
Tower building primarily involves visual-motor coordination.
Question 4 of 5
Which of the ff symptoms should a nurse assess in a client when implementing interventions for trauma to the upper airway?
Correct Answer: D
Rationale: When implementing interventions for trauma to the upper airway, it is crucial for the nurse to assess for the presence of laryngospasm. Laryngospasm is a sudden spasm of the vocal cords that may cause difficulty breathing and in severe cases, complete airway obstruction. It is a serious and potentially life-threatening complication that can occur following upper airway trauma.
Therefore, prompt recognition and treatment of laryngospasm are essential to ensure adequate oxygenation and ventilation for the client. Pain when talking, increased nasal swelling, and burning in the throat may also be symptoms encountered in upper airway trauma, but the presence of laryngospasm signifies a more critical condition requiring immediate intervention.
Question 5 of 5
A client agreed to become an organ donor is pronounced dead. What is the most important factor in selecting a transplant recipient?
Correct Answer: B
Rationale: The most important factor in selecting a transplant recipient for an organ that has been donated by a deceased donor is ensuring compatibility in terms of blood and tissue types. Matching these factors between the donor and recipient minimizes the risk of rejection and increases the likelihood of a successful transplant. Compatibility ensures that the recipient's body is less likely to identify the transplanted organ as foreign and mount an immune response against it. Blood relationship, sex, and size are important factors to consider but they are secondary to compatibility in terms of blood and tissue types when it comes to organ transplantation. Ultimately, the goal is to have the best chance of a successful transplant by ensuring a good match between the donor organ and the recipient.