ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
A 2-year-old admitted 2 days ago is crying and inconsolable. The nurse tells the parents this is the:
Correct Answer: D
Rationale: The protest stage is common in hospitalized children experiencing separation anxiety, characterized by excessive crying and clinginess.
Question 2 of 5
When the nurse is reviewing a patient's daily laboratory test results, which of the ff. electrolyte imbalances should the nurse recognize as predisposing the patient to digoxin toxicity?
Correct Answer: A
Rationale: Hypokalemia, or low potassium levels, predisposes the patient to digoxin toxicity because potassium is essential for proper digoxin metabolism. Potassium competes with digoxin for binding sites on sodium-potassium ATPase pumps in the myocardial cells. When potassium levels are low, digoxin binding is increased, leading to an increased risk of digoxin toxicity. Monitoring and correcting hypokalemia are important in patients taking digoxin to reduce the risk of toxicity. Hyperkalemia, on the other hand, can increase the risk of digoxin toxicity by affecting electrophysiological properties of the heart, but hypokalemia is the most significant imbalance predisposing to digoxin toxicity.
Question 3 of 5
Acidosis in renal failure is more likely to be associated with which of the following:
Correct Answer: D
Rationale: Acidosis in renal failure is associated with a wide anion gap due to the accumulation of unmeasured anions like sulfates and phosphates, which the kidneys fail to excrete effectively.
Question 4 of 5
A term infant is born with Apgar scores of 5 at minute and 7 at 5 minutes The infant has a heart rate of 7 and demonstrates pallor with hepatosplenomegaly A Coombs test on maternal blood yields positive results The most likely diagnosis is
Correct Answer: A
Rationale: Erythroblastosis fetalis is caused by Rh incompatibility, leading to hemolysis, anemia, and hepatosplenomegaly
Question 5 of 5
One of the following is a bad prognostic criterion for acute lymphoblastic leukemia:
Correct Answer: D
Rationale: Anemia is a poor prognostic factor in acute lymphoblastic leukemia as it reflects the extent of bone marrow infiltration and disease severity.