ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
A client with neuromuscular disorder is receiving intensive nursing care. The client is likely to face the risk for impaired skin integrity. Which of the ff must the nurse ensure to prevent skin breakdown in the client?
Correct Answer: B
Rationale: Using pressure relieving devices when the client is in bed is essential to prevent skin breakdown. Clients with neuromuscular disorders are at higher risk for impaired skin integrity due to limited mobility and sensation. Pressure relieving devices such as specialized mattresses, cushions, or pads help distribute pressure evenly and reduce the risk of pressure ulcers. Maintaining good skin integrity is crucial in preventing complications and promoting the overall well-being of the client. It is important for the nurse to assess the client's risk factors, implement preventive measures like using pressure relieving devices, and monitor the client's skin regularly to prevent skin breakdown.
Question 2 of 5
A patient has iron deficiency anemia. Which of the following foods will best help provide dietary iron?
Correct Answer: C
Rationale: Lean red meats are a great source of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant-based sources. Heme iron from animal products is particularly beneficial for individuals with iron deficiency anemia as it can help increase their iron levels more effectively. In addition to lean red meats, other animal sources of heme iron include poultry and fish.
Question 3 of 5
To treat cervical cancer, a client has had an applicator of radioactive material placed in the vagina. Which observation by the nurse indicates a radiation hazard?
Correct Answer: B
Rationale: Keeping the head of the bed at a 30-degree angle can dislodge the applicator of radioactive material placed in the vagina. When caring for a client with a radioactive applicator, it is important to ensure that the position of the applicator is maintained to prevent radiation exposure to staff and other clients. This can be achieved by keeping the head of the bed flat without elevation. The other options are appropriate measures in caring for a client with a radioactive applicator.
Question 4 of 5
The nurse notices that a 10-month-old infant being seen in the clinic is wearing expensive, inflexible, high-top shoes. The nurse should explain that:
Correct Answer: A
Rationale: Soft and flexible shoes are generally better for infants who are learning to walk. Infants have soft and pliable bones in their feet that are still developing, so it is important for them to wear shoes that allow natural movement and flexibility. High-top shoes and inflexible shoes may restrict the natural movement of the foot and can hinder the infant's ability to develop balance and coordination while learning to walk. It is important for infants to wear shoes that are comfortable, lightweight, and provide some protection without restricting their foot movements.
Question 5 of 5
Niklaus was born with hypospadias; which of the following should be avoided when a child has such condition?
Correct Answer: B
Rationale: Hypospadias is a congenital condition where the opening of the urethra is located on the underside of the penis instead of the tip. If a child is born with hypospadias, circumcision should be avoided. Circumcision involves removing part of the foreskin, which can cause complications for children with hypospadias, such as affecting future surgical repair procedures or worsening the hypospadias itself. Therefore, it is recommended to avoid circumcision in children with hypospadias.