ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 5
A client with a history of cardiac dysrhythmias is admitted to the hospital with the diagnosis of dehydration. The nurse should anticipate that the physician will order;
Correct Answer: D
Rationale: A client with a history of cardiac dysrhythmias and dehydration requires careful monitoring and management of fluid and electrolyte balance. The most appropriate intervention for rapid correction of dehydration in this scenario is a rapid IV infusion of an electrolyte and glucose solution. This method allows for the quick replacement of fluids and essential electrolytes to restore the client's hydration status efficiently and effectively. Administering fluids orally may not be adequate in this situation, and NG replacement of fluids and nutrients may not be necessary if the client's condition can be managed through IV therapy. Therefore, option D is the most appropriate choice for this client.
Question 2 of 5
Tiffany is diagnosed with increased intracranial pressure (ICP); which of the following if stated by her parents would indicate a need for Nurse Charlie to reexplain the purpose for elevating the head of the bed at a 10 to 20-degree angle?
Correct Answer: B
Rationale: Elevating the head of the bed at a 10 to 20-degree angle helps to increase intrathoracic pressure. This increase in pressure can aid in promoting cerebrospinal fluid drainage and reducing intracranial pressure. It is important to maintain the correct angle to achieve the desired effect and avoid potential complications. If Tiffany's parents mention this as the reason for elevating the bed, Nurse Charlie should reexplain the purpose to ensure they understand the intended outcome.
Question 3 of 5
A 3-year-old with croup has the following vital signs: HR 90, RR 44, BP 100/52, T 98.8°F. The parents ask if these are normal. The nurse's best response is:
Correct Answer: C
Rationale: The elevated respiratory rate is concerning since normal for a 3- to 6-year-old is about 20-30 breaths per minute.
Question 4 of 5
A 10-month-old child can do all the following EXCEPT
Correct Answer: D
Rationale: Speaking inhibition words like 'no' typically occurs later.
Question 5 of 5
Autism screening is recommended for all children at age of
Correct Answer: B
Rationale: Autism screening is recommended between 18 and 24 months.