ATI RN
FNP Pediatric Practice Questions Questions
Question 1 of 5
A 10-year-old girl needs to have another intravenous (IV) line started. She keeps telling the nurse, "Wait a minute" and "I'm not ready." The nurse should recognize this as which description?
Correct Answer: A
Rationale: This is normal behavior for a school-age child. School-age children often assert their independence and control in various situations, such as medical procedures. It is common for children in this age group to express hesitation or resistance when faced with something uncomfortable or unfamiliar, like starting an IV line. The child's behavior of saying "Wait a minute" and "I'm not ready" is a typical response for a 10-year-old girl and does not necessarily indicate manipulation, punishment perception, or behavior typical of younger children. In this case, the nurse should acknowledge the child's feelings, provide reassurance, and offer explanations to help her feel more comfortable and in control of the situation.
Question 2 of 5
Which of the following is information the nurse would be correct in giving the patient about smoking and its effect on BP?
Correct Answer: D
Rationale: Smoking is a known risk factor for hypertension. Chronic smoking leads to sustained elevation in blood pressure by causing vasoconstriction of the blood vessels, increasing heart rate, and promoting the formation of plaques in the arteries. This can contribute to the development of hypertension over time. Therefore, the nurse would be correct in informing the patient that smoking causes sustained elevation in blood pressure.
Question 3 of 5
Which antiparkinsonian drug is associated with the on-off phenomenon and the wearing-off effect?
Correct Answer: B
Rationale: Levodopa is the antiparkinsonian drug associated with the on-off phenomenon and the wearing-off effect. The on-off phenomenon refers to the sudden and unpredictable fluctuations between periods of symptom control (on) and periods of symptom re-emergence (off) in patients with Parkinson's disease receiving levodopa therapy. This can happen as the disease progresses and the brain becomes less responsive to the medication.
Question 4 of 5
What discharge teaching is most important to help the patient who has had a splenectomy prevent infection?
Correct Answer: C
Rationale: Patients who have had a splenectomy are at increased risk for infections, particularly those caused by encapsulated bacteria such as Streptococcus pneumoniae. To prevent these infections, it is essential for these patients to receive vaccines against these bacteria. Vaccines recommended for patients who have had a splenectomy include the pneumococcal vaccine, meningococcal vaccine, and Hib vaccine. These vaccines help boost the body's immunity and provide protection against potentially life-threatening infections. It is important for healthcare providers to educate patients about the importance of receiving these vaccines to prevent infections post-splenectomy.
Question 5 of 5
An adult is to receive narcotic analgesics via patient controlled analgesia. The nurse is evaluating client's understanding of the procedure. Which of the following statements by the client indicates that she understand PCA?
Correct Answer: B
Rationale: Statement B, "I will press the button whenever I feel pain," indicates that the client understands how to use the patient-controlled analgesia (PCA). PCA systems are designed to allow patients to self-administer a predetermined dose of pain medication when needed. This statement demonstrates the client's comprehension that it is appropriate to use the PCA when pain is experienced, navigating the misunderstanding that pressing the button will always give more medicine (A), that it should be pressed on a scheduled basis regardless of pain (C), or that it will completely eliminate pain (D).