ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
A client who is receiving a blood transfusion begins to experience chills, shortness of breath, nausea, excessive perspiration, and a vague sense of uneasiness. What is the nurse's first best action?
Correct Answer: D
Rationale: The client is exhibiting signs of a transfusion reaction, most likely a hemolytic reaction. The first best action for the nurse to take in this situation is to immediately stop the blood transfusion to prevent further complications for the client. Once the infusion is stopped, the nurse can then proceed with assessing the client's vital signs, respiratory status, and other appropriate interventions. It is crucial to prioritize stopping the transfusion to ensure the client's safety and well-being.
Question 2 of 5
Clinical examination of a child with large unilateral pneumothorax can show:
Correct Answer: A
Rationale: A large pneumothorax decreases breath sounds due to collapsed lung tissue.
Question 3 of 5
An adult is receiving NSAID. Which of the following would the nurse include in the teaching about this medication?
Correct Answer: B
Rationale: Taking NSAIDs with meals or a snack can help reduce the risk of stomach irritation and ulcers that are commonly associated with these medications. Food can help protect the stomach lining from the irritating effects of NSAIDs. It is important for the adult to follow this instruction to minimize any potential gastrointestinal side effects. Taking NSAIDs with meals also helps with the absorption of the medication into the bloodstream, ensuring its effectiveness.
Question 4 of 5
In the presence of convincing history of a severe systemic reaction, the next diagnostic step for those with initially negative skin test is
Correct Answer: B
Rationale: If initial skin testing is negative but the clinical history strongly suggests venom allergy, repeating the skin test after 4-6 weeks increases the likelihood of detecting sensitization.
Question 5 of 5
Why should clients who take warfarin (Coumadin) refrain from food items such as green leafy vegetables and soybeans?
Correct Answer: A
Rationale: Clients who take warfarin (Coumadin) should refrain from foods such as green leafy vegetables and soybeans because these foods contain high levels of Vitamin K. Vitamin K plays a crucial role in blood clotting, which may counteract the anti-coagulant effects of warfarin. Therefore, consuming large amounts of Vitamin K-rich foods can reduce the effectiveness of warfarin in preventing blood clots, leading to potential health risks. It is important for clients on warfarin therapy to maintain a consistent intake of Vitamin K in their diet to ensure the medication works effectively.