ATI RN
Pediatric Cardiovascular Nursing Questions Questions
Question 1 of 5
A client admitted to a surgical unit is being evaluated for an intestinal obstruction. The healthcare provider prescribes a nasogastric tube (NGT) to be inserted and placed to intermittent low wall suction. Which intervention should the nurse implement to facilitate proper tube placement?
Correct Answer: D
Rationale: The correct answer is D) Elevate head of bed 60 to 90 degrees. This position facilitates proper tube placement by utilizing gravity to assist in guiding the nasogastric tube into the stomach. Elevating the head of the bed also helps prevent aspiration and ensures proper positioning of the tube. Option A) Soaking the nasogastric tube in warm water is unnecessary and does not contribute to proper tube placement. Option B) Inserting the tube with the client's head tilted back can increase the risk of aspiration and is not the recommended technique for nasogastric tube insertion. Option C) Applying suction while inserting the tube is not appropriate as it can cause trauma to the nasal passages and increase the risk of incorrect tube placement. Educationally, understanding the rationale behind proper nasogastric tube placement is crucial for nurses caring for pediatric patients with gastrointestinal issues. By knowing the correct technique, nurses can ensure safe and effective interventions for their patients, preventing complications and promoting optimal outcomes.
Question 2 of 5
An older adult with heart failure is hospitalized during an acute exacerbation. To reduce cardiac workload, which intervention should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: In the context of an older adult with heart failure experiencing an acute exacerbation, the correct intervention of providing a bedside commode for toileting is crucial in reducing cardiac workload. This is because having the commode nearby minimizes the need for the client to walk to the bathroom, thus decreasing physical exertion and stress on the heart. Option A, assisting with ambulation in the hallway, would increase physical activity and cardiac workload, which is contraindicated during an acute exacerbation of heart failure. Option B, encouraging active range of motion exercises, may also increase cardiac workload and should be avoided in this scenario. Option D, teaching to sleep in a side-laying position, while important for some patients with heart failure to reduce shortness of breath, is not directly related to reducing cardiac workload during an acute exacerbation. In an educational context, understanding the rationale behind each intervention is essential for nurses to provide safe and effective care to patients with heart failure. It highlights the importance of individualizing care based on the patient's condition and needs to optimize outcomes and prevent complications.
Question 3 of 5
Which food is most important for the nurse to encourage a male client with osteomalacia to include in his daily diet?
Correct Answer: A
Rationale: In the context of a male client with osteomalacia, which is characterized by softening of the bones due to a deficiency in vitamin D and calcium, the most important food to encourage in his daily diet is fortified milk and cereals (Option A). Fortified milk is an excellent source of calcium and vitamin D, essential nutrients for bone health. Cereals fortified with vitamin D and calcium provide additional support in addressing the deficiency underlying osteomalacia. This combination helps to strengthen bones and prevent further deterioration in the client's condition. Lean red meat and poultry (Option B) are good sources of protein but do not directly address the vitamin D and calcium deficiencies associated with osteomalacia. Fresh fruits and vegetables (Option C) are important for overall health but do not specifically target the nutritional needs of someone with osteomalacia. Whole grains and legumes (Option D) are valuable sources of nutrients but do not provide the necessary focus on calcium and vitamin D crucial for treating osteomalacia. In an educational context, it is important for nurses to understand the specific dietary recommendations for various health conditions. By grasping the rationale behind the correct answer, nurses can effectively educate and support clients in making appropriate dietary choices to manage their health conditions effectively. This question highlights the significance of targeted nutrition interventions in addressing specific health issues like osteomalacia.
Question 4 of 5
A male client with a history of asthma reports having episodes of bronchoconstriction and increased mucous production while exercising. Which action should the nurse implement?
Correct Answer: A
Rationale: In this scenario, the correct action for the nurse to implement is option A) Determine if the client is using an inhaler before exercising. This choice is the most appropriate because the client's history of asthma and symptoms of bronchoconstriction and increased mucous production during exercise indicate exercise-induced asthma. Using an inhaler before exercising can help prevent or reduce these symptoms by opening up the airways and reducing inflammation. Option B) Advising the client to avoid all physical activity is incorrect as it is not a practical or healthy solution. Regular exercise is important for overall health, and with proper asthma management, individuals with asthma can safely engage in physical activities. Option C) Encouraging the client to increase fluid intake before exercise is not directly related to managing asthma symptoms during exercise. While staying hydrated is important, it will not address the underlying issue of bronchoconstriction in this case. Option D) Recommending the client wear a mask while exercising is not as effective as using an inhaler specifically designed to manage asthma symptoms. Masks may not provide the necessary bronchodilation and anti-inflammatory effects needed to alleviate symptoms during exercise. Educationally, understanding the importance of proper asthma management during exercise is crucial for nurses caring for pediatric clients with asthma. Recognizing the signs and symptoms of exercise-induced asthma and knowing the appropriate interventions, such as using an inhaler before exercise, can significantly improve the quality of life for these individuals and help them safely participate in physical activities.
Question 5 of 5
The clinic nurse is reviewing strategies for blood glucose monitoring with a client who is newly diagnosed with diabetes mellitus. When helping the client select a blood glucose meter, which client assessments should the nurse complete?
Correct Answer: A
Rationale: In the context of pediatric cardiovascular nursing and pharmacology, the correct answer to the question is option A) Manual dexterity and visual acuity. When selecting a blood glucose meter for a client with diabetes mellitus, it is crucial to assess the client's ability to perform the necessary tasks of using the meter accurately. Manual dexterity is important as the client needs to be able to handle the device, insert test strips, and operate the meter effectively. Visual acuity is also essential for reading the results correctly. Option B) Capillary refill time and radial pulse volume, Option C) Deep tendon reflexes and skin color, and Option D) Skin elasticity and hand grip strength are all unrelated to blood glucose monitoring and the selection of a blood glucose meter for a client with diabetes mellitus. These assessments are more relevant to cardiovascular and neurological assessments rather than glucose monitoring. In an educational context, understanding the rationale behind selecting a blood glucose meter based on the client's manual dexterity and visual acuity is crucial for nurses caring for pediatric patients with diabetes mellitus. This knowledge helps nurses tailor their care to meet the specific needs of the individual patient, ensuring accurate monitoring of blood glucose levels and effective management of the condition. By focusing on the client's abilities and limitations, nurses can empower patients to take an active role in their diabetes care and promote better health outcomes.