ATI RN
FNP Pediatric Practice Questions Questions
Question 1 of 5
A 57-year old patient had a right lower lobectomy. The nurse should initiate this action when the patient arrives from the Post Anesthesia Care Unit:
Correct Answer: B
Rationale: After a right lower lobectomy, it is important to keep the patient in a semi-Fowler's position to promote lung expansion and oxygenation. This position helps to reduce pressure on the diaphragm and allows for better lung ventilation. By maintaining the patient in a semi-Fowler's position, it can help prevent complications such as atelectasis and pneumonia postoperatively. It is a crucial nursing intervention to ensure optimal respiratory function and promote recovery after lung surgery.
Question 2 of 5
A patient had a lumbar injury. Which neurological test by the nurse would be affected?
Correct Answer: C
Rationale: Romberg's test is a neurological test that assesses the function of the dorsal columns of the spinal cord, which are responsible for proprioception and vibration sensations. A lumbar injury can affect these dorsal columns, leading to impaired proprioception. Therefore, the Romberg's test would be affected due to the compromised sensory input from the lower extremities. This test usually involves asking the patient to stand with feet together and eyes closed to assess balance and proprioception.
Question 3 of 5
Mr. Galino is diagnosed to have Raynaud's disease. Nurse Oliver gives instructions to the client to stop smoking because it causes:
Correct Answer: B
Rationale: Raynaud's disease is a condition characterized by vasospasms of the small arteries, usually in the fingers and toes, in response to cold temperatures or stress. Smoking can worsen the symptoms of Raynaud's disease because it causes vasoconstriction, which is the narrowing of blood vessels. Nicotine in cigarettes can trigger vasospasms, leading to further restriction of blood flow to the extremities. Therefore, it is essential for individuals with Raynaud's disease to stop smoking to help improve blood circulation and reduce the frequency and severity of vasospasms.
Question 4 of 5
Which of the following is not a criterion for a valid informed consent that a nurse should identify?
Correct Answer: B
Rationale: Coercion should not be involved in obtaining informed consent as it undermines the voluntary nature of the decision-making process. Informed consent should be freely given by the patient without any form of pressure or manipulation. The other criteria for valid informed consent that a nurse should identify include that it is freely given, includes an explanation of procedures, and describes the alternatives available to the patient.
Question 5 of 5
The nurse is providing dietary instructions to a client with hypoglycemia. To control hypoglycemic episodes, the nurse should recommend:
Correct Answer: D
Rationale: Consuming a low-carbohydrate, high-protein diet and avoiding fasting is the best recommendation to control hypoglycemic episodes in clients. When someone has hypoglycemia, their blood sugar levels drop too low. A diet that is low in carbohydrates and high in protein can help regulate blood sugar levels and prevent sudden drops that lead to hypoglycemic episodes. Additionally, avoiding fasting helps maintain a consistent intake of nutrients throughout the day, which is important for managing blood sugar levels. It is essential to eat regular, balanced meals and snacks to keep blood sugar levels stable and prevent hypoglycemia.