ATI RN
Pediatric HESI Test Bank Questions
Question 1 of 5
A client in the terminal stage of cancer is receiving continuous infusion of morphine (Duramorph) for pain management. Which assessment finding suggests that the client is experiencing an adverse effect of this drug?
Correct Answer: D
Rationale: The assessment finding that suggests the client is experiencing an adverse effect of morphine (Duramorph) is a respiratory rate of 8 breaths/min. Morphine is a potent opioid analgesic that can cause respiratory depression as a side effect. When the respiratory rate decreases significantly, it indicates the potential for compromised breathing, which could progress to respiratory failure. This is a serious adverse effect that requires immediate attention and evaluation by healthcare providers. The client receiving continuous infusion of morphine should be closely monitored for signs of respiratory depression to prevent life-threatening consequences.
Question 2 of 5
Then the drug is stopped. When should treatment resume?
Correct Answer: A
Rationale: The drug should be resumed when the WBC (white blood cell) count falls to 5,000/mm3. This is the appropriate indicator to monitor as a low WBC count may indicate the need for the medication to be restarted to support the immune system. It is important to closely monitor the WBC count as it is a crucial factor in gauging the body's ability to fight infections effectively. Resuming treatment at this point helps ensure that the client's immune system remains stable and can continue to function properly.
Question 3 of 5
When the patient's signature is witnessed by the nurse on the surgical consent, which of the following does the nurse's signature indicate?
Correct Answer: D
Rationale: The nurse's signature on the surgical consent form indicates that the nurse has verified and confirmed that the patient has signed the consent form. This step is crucial to ensure that the patient has voluntarily given their consent for the surgical procedure. It does not mean that the nurse obtained or provided informed consent, answered all surgical procedure questions, or made decisions on behalf of the patient. The nurse's role is to act as a witness to the patient's signature on the consent form to acknowledge that the patient has agreed to the procedure and signed the document.
Question 4 of 5
The multilumen pulmonary artery catheter allows the nurse to measure hemodynamic pressures at different points in the heart. When the tip enters the small branches of the pulmonary artery, the nurse can assess all of the following except:
Correct Answer: C
Rationale: The multilumen pulmonary artery catheter, when positioned in the small branches of the pulmonary artery, allows the nurse to measure various hemodynamic pressures. Central venous pressure (CVP), Pulmonary artery capillary pressure (PACP), and Pulmonary artery wedge pressure (PAWP) can be measured accurately at this point. However, "Pulmonary artery obstructive pressure" is not a valid or recognized hemodynamic pressure parameter. Instead, the correct term for this measurement that can be assessed using the catheter is the Pulmonary artery occlusion pressure (PAOP) or Pulmonary artery wedge pressure (PAWP), which reflects the left atrial pressure.
Question 5 of 5
Which of the ff dietary recommendations should a nurse give to a client taking diuretics?
Correct Answer: A
Rationale: Diuretics are medications that help the body get rid of excess sodium and water through increased urine output. One common side effect of diuretics is the loss of potassium from the body. Therefore, it is important for clients taking diuretics to include potassium-rich foods in their diet to help maintain a healthy potassium level. Some examples of potassium-rich foods include bananas, oranges, potatoes, spinach, avocados, and tomatoes. By including these foods in their diet, clients taking diuretics can help prevent potassium deficiency and maintain overall health.