ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 of 5
The nurse is caring for a child with acute renal failure. Which clinical manifestation should the nurse recognize as a sign of hyperkalemia?
Correct Answer: D
Rationale: Hyperkalemia is a condition characterized by elevated levels of potassium in the blood. This can have serious effects on the heart, leading to cardiac arrhythmias which can be life-threatening. In acute renal failure, the kidneys are not able to properly regulate potassium levels in the blood, leading to a potential buildup of potassium, resulting in hyperkalemia. The nurse should recognize cardiac arrhythmias as a critical sign of hyperkalemia in a child with acute renal failure and take prompt action to address this electrolyte imbalance. Dyspnea, seizure, and oliguria are not typically directly correlated with hyperkalemia.
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
The parents of a 9-month-old infant tell the nurse that they have noticed foods such as peas and corn are not completely digested and can be seen in their infant's stools. The nurse's explanation of this is based on which statement?
Correct Answer: D
Rationale: The correct answer is D. This is normal because of the immaturity of digestive processes at this age. At 9 months old, infants are still in the process of developing their digestive system. It is common for them to have difficulty digesting certain foods, especially those high in fiber like peas and corn. This is due to the immaturity of their digestive enzymes and processes. As the infant grows, their digestive system will continue to mature, and they will be able to digest these types of foods more effectively.
Therefore, there is no need for further investigation or restriction of solid foods.
Question 5 of 5
Osteosarcoma is the most common primary malignant bone tumor in children and adolescents; it has multiple subtypes and requires different modalities of treatment including surgery and chemotherapy. Of the following, the subtype of osteosarcoma which is treated by surgery alone is
Correct Answer: D
Rationale: Periosteal osteosarcoma is often treated with surgery alone if margins are clear.