ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 9
A 16-year-old, 165-pound patient reports consuming 20-40 325-mg capsules containing acetaminophen 1 hour ago. You should
Correct Answer: C
Rationale: Activated charcoal can help reduce absorption of acetaminophen, and plasma levels should be measured 4 hours post-ingestion to assess toxicity using the nomogram.
Question 2 of 9
Which of the ff adverse reactions may occur when a client is taking danazol (Danocrine) for fibrocystic breast disease?
Correct Answer: B
Rationale: Danazol (Danocrine) is a synthetic androgen that is used to treat conditions such as fibrocystic breast disease. One of the known adverse effects of danazol is the development of amenorrhea, which refers to the absence of menstrual periods. This occurs because danazol suppresses ovarian function by inhibiting the release of gonadotropins, leading to decreased production of estrogen and progesterone. Amenorrhea associated with danazol use is typically reversible upon discontinuation of the medication. Nausea, confusion, and hypotension are not common adverse reactions associated with danazol use for fibrocystic breast disease.
Question 3 of 9
The community health nurse is teaching parents about prevention of the spread and reoccurrence of pediculosis (head lice). Which should the nurse include in the teaching session? (Select all that apply.)
Correct Answer: A
Rationale: Drycleaning nonwashable items is an effective way to kill any head lice or eggs that may be on the items.
Question 4 of 9
When should the nurse expect breastfeeding-associated jaundice to first appear in a normal newborn?
Correct Answer: C
Rationale: Breastfeeding-associated jaundice typically first appears in a normal newborn between 2 to 4 days after birth. This type of jaundice is usually mild and is caused by insufficient milk intake, leading to decreased bilirubin elimination. It is important for healthcare providers to monitor the baby's weight and ensure adequate feeding to prevent or address breastfeeding-associated jaundice.
Question 5 of 9
Which is the most common cause of anemia in preterm newborns?
Correct Answer: A
Rationale: The most common cause of anemia in preterm newborns is frequent blood sampling. Preterm infants are often subject to numerous blood tests for various reasons such as monitoring oxygen and blood gas levels, assessing bilirubin levels, infection screening, and more. These repeated blood withdrawals lead to a loss of red blood cells and can contribute to the development of anemia in preterm infants. Anemia in preterm newborns can have significant consequences, including impaired growth and development, delayed hospital discharge, and the potential need for blood transfusions. Therefore, minimizing unnecessary blood sampling and utilizing non-invasive monitoring methods whenever possible are key strategies in preventing and managing anemia in preterm newborns.
Question 6 of 9
Mr. Reyea has expressive aphasia. As a part of a long range planning. The nurse should ;
Correct Answer: A
Rationale: In caring for a patient with expressive aphasia like Mr. Reyea, providing positive feedback when he uses a word correctly is essential for reinforcing and encouraging communication efforts. This positive reinforcement can help boost his confidence and motivation to continue trying to communicate effectively. It is important to support and acknowledge any progress made, as communication difficulties can be frustrating for individuals with aphasia. Waiting for him to verbally state needs regardless of how long it may take, as well as suggesting that he get help at home because the disability is permanent, may not be the most therapeutic or supportive approaches. Helping the family accept that Mr. Reyea cannot participate in verbal communication should not be the primary focus, as there are strategies and therapies that can help improve communication abilities in patients with aphasia.
Question 7 of 9
Kasabach-Merritt syndrome is characterized by all the following EXCEPT
Correct Answer: D
Rationale: Kasabach-Merritt syndrome is not typically associated with hemangiomas.
Question 8 of 9
The most significant form of meningitis is:
Correct Answer: A
Rationale: Bacterial meningitis is considered the most significant form of meningitis because it is a serious, life-threatening condition that requires immediate medical attention. Bacterial meningitis is caused by bacteria infecting the protective membranes covering the brain and spinal cord. It can lead to complications such as brain damage, hearing loss, and even death if not treated promptly with antibiotics. Bacterial meningitis is more severe than viral or aseptic meningitis, hence why it is considered the most significant form.
Question 9 of 9
gauge needle for drawing up medication and injecting it
Correct Answer: B
Rationale: Using a 1 inch needle is the appropriate gauge needle for drawing up medication and injecting it. The length of the needle is important to ensure that the medication reaches the intended target area and is administered effectively. Shorter needles may not penetrate deep enough, while longer needles may increase the risk of complications such as injecting the medication into the wrong tissue or causing discomfort to the patient. Therefore, using a 1 inch needle is the correct choice for administering medication safely and accurately.