ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
. A client is admitted to the health care facility for evaluation for Addison's disease. Which laboratory test result best supports a diagnosis of Addison's disease?
Correct Answer: C
Rationale: Addison's disease, also known as adrenocortical insufficiency, is characterized by a deficiency in adrenal cortex hormones, particularly glucocorticoids and mineralocorticoids. One of the characteristic findings in Addison's disease is hyperkalemia, which is an elevated serum potassium level. This is due to the lack of aldosterone production by the adrenal glands, leading to decreased potassium excretion by the kidneys. Therefore, a serum potassium level of 5.8 mEq/L would best support a diagnosis of Addison's disease among the given laboratory test results.
Question 2 of 5
The MOST appropriate answer to why infants cry in response to another infant's cry is
Correct Answer: A
Rationale: Empathy begins developing early, though rudimentary.
Question 3 of 5
Halfway through the administration of a unit of blood, a client complains of lumbar pain. The nurse should:
Correct Answer: C
Rationale: Lumbar pain during a blood transfusion can be a sign of an adverse reaction, such as a transfusion reaction. Any complaints of pain during a transfusion should not be ignored. In this case, the nurse should first stop the transfusion to prevent any further complications. The client should be assessed promptly for other signs of a transfusion reaction, and appropriate actions should be taken as needed to ensure the client's safety and well-being.
Question 4 of 5
A client with neuromuscular disorder is receiving intensive nursing care. The client is likely to face the risk for impaired skin integrity. Which of the ff must the nurse ensure to prevent skin breakdown in the client?
Correct Answer: B
Rationale: Using pressure relieving devices when the client is in bed is essential to prevent skin breakdown. Clients with neuromuscular disorders are at higher risk for impaired skin integrity due to limited mobility and sensation. Pressure relieving devices such as specialized mattresses, cushions, or pads help distribute pressure evenly and reduce the risk of pressure ulcers. Maintaining good skin integrity is crucial in preventing complications and promoting the overall well-being of the client. It is important for the nurse to assess the client's risk factors, implement preventive measures like using pressure relieving devices, and monitor the client's skin regularly to prevent skin breakdown.
Question 5 of 5
Four-year-old Brian appears to be upset by hospitalization. Which is an appropriate intervention?
Correct Answer: A
Rationale: Option A, "Let him know it is all right to cry," is the most appropriate intervention for a four-year-old like Brian who appears to be upset by hospitalization. Acknowledging and validating his emotions, including the possibility of crying, is important for his emotional well-being. By letting Brian know it is okay to express his feelings, he can feel supported and understood during a potentially difficult time. It is crucial for children to feel that their emotions are valid and accepted, promoting their emotional resilience and coping skills. This approach fosters trust and comfort, helping Brian navigate his emotions in a healthy way.