ATI RN
FNP Pediatric Practice Questions Questions
Question 1 of 5
A client is undergoing peritoneal dialysis. Which of the ff is a major complication of the procedure that the nurse should monitor for?
Correct Answer: D
Rationale: Peritonitis is a major complication of peritoneal dialysis that the nurse should monitor for. Peritonitis is an infection of the peritoneum, the membrane that lines the abdominal cavity and covers the abdominal organs. It can occur when bacteria from the dialysis solution enter the peritoneal cavity. Symptoms of peritonitis may include abdominal pain, cloudy dialysis effluent, fever, and general signs of infection. Prompt recognition and treatment of peritonitis are crucial to prevent complications such as sepsis and peritoneal membrane damage. Regular monitoring and strict aseptic technique during peritoneal dialysis can help reduce the risk of peritonitis.
Question 2 of 5
You are meeting parents of a 5-year-old boy; the mother is wondering about the normal sexual behavior of her child. Of the following, the sexual behavior that is considered HIGHLY unusual in this age group is
Correct Answer: D
Rationale: Imitating adult sexual behaviors is highly unusual and concerning in young children, suggesting possible exposure to inappropriate content or experiences.
Question 3 of 5
Laboratory findings consistent with acute glomerulonephritis include all of the following except :
Correct Answer: B
Rationale: Acute glomerulonephritis is a condition characterized by inflammation of the glomeruli in the kidneys, leading to kidney dysfunction. Common laboratory findings consistent with acute glomerulonephritis include hematuria (blood in the urine), proteinuria (protein in the urine), and white cell casts (indicative of inflammation in the kidney tubules). Polyuria, which refers to excessive urination, is not a typical laboratory finding associated with acute glomerulonephritis. Instead, patients with acute glomerulonephritis often present with oliguria or reduced urine output due to impaired kidney function. Therefore, polyuria is not consistent with the typical laboratory findings of acute glomerulonephritis.
Question 4 of 5
A seizure characterized by loss of consciousness and tonic spasms of the trunk and extremities rapidly followed by repetitive generalized clonic jerking is classified as:
Correct Answer: C
Rationale: The description provided aligns with the characteristics of a generalized seizure. Generalized seizures involve abnormal electrical activity in the entire brain, leading to loss of consciousness and widespread motor symptoms, such as tonic (stiffening) and clonic (jerking) movements affecting both sides of the body. Examples of generalized seizures include tonic-clonic seizures (formerly known as grand mal seizures) where there is a sequence of tonic stiffness followed by clonic jerking. In contrast, focal (partial) seizures originate in a specific area of the brain and may result in localized symptoms before possibly spreading to involve both sides of the brain. Jacksonian seizures specifically refer to focal seizures with motor symptoms that spread in a stepwise fashion, starting from one part of the body.
Question 5 of 5
Management of the foregoing patient should include:
Correct Answer: C
Rationale: The patient's symptoms of muscle weakness and fatigue are likely due to hypermagnesemia, which is an excess of magnesium in the blood. Hence, the management should include discontinuing any oral magnesium salts that the patient may be taking. This will help in correcting the magnesium imbalance and improving the patient's symptoms. Regular diet modifications and potassium-sparing diuretics are not indicated for the treatment of hypermagnesemia and may not address the underlying cause in this case.