ATI RN
ATI Pediatrics Test Bank Questions
Question 1 of 5
A client with type 1 diabetes mellitus asks the nurse about taking an oral antidiabetic agent. The nurse explains that these medications are only effective if the client:
Correct Answer: C
Rationale: Oral antidiabetic agents are medications designed specifically for the management of type 2 diabetes mellitus. They work by improving insulin sensitivity, increasing insulin production, or reducing glucose production in the liver. Type 1 diabetes mellitus is characterized by an absolute deficiency of insulin production, requiring lifelong insulin therapy. Therefore, oral antidiabetic agents are not effective for individuals with type 1 diabetes like the client in this scenario.
Question 2 of 5
Bell's palsy is a ___ cranial nerve disorder characterized by weakness or paralysis of the facial muscles.
Correct Answer: B
Rationale: Bell's palsy is a cranial nerve disorder characterized by weakness or paralysis of the facial muscles due to inflammation, compression, or damage to the seventh cranial nerve - the facial nerve. The facial nerve controls the muscles responsible for facial expressions and functions like smiling, closing the eyes, and raising the eyebrows. Symptoms of Bell's palsy can include drooping of one side of the face, difficulty in closing one eye, drooling, impaired taste, and difficulty in smiling.
Question 3 of 5
Nutritional considerations as part of the nursing care plan would include all of the following except that:
Correct Answer: B
Rationale: It is important to consider calcium supplementation for patients with spinal cord injuries, especially those with paraplegia, as they are at an increased risk of developing osteoporosis due to decreased weight-bearing activities. Calcium is necessary for bone health and should not be avoided in the diet of patients with spinal cord injuries. Therefore, the statement "Calcium should be avoided" is incorrect in this context as it goes against the nutritional considerations that should be included in the nursing care plan for a patient like Richard Gabatan.
Question 4 of 5
Mrs. Zeno continues to become a weaker despite .treatment with neostigmine. Edrophonium HCL is ordered:
Correct Answer: C
Rationale: Edrophonium HCL is ordered to rule out cholinergic crisis caused by possible overdose of neostigmine. In myasthenia gravis, patients are normally given neostigmine to help improve muscle strength by prolonging the effect of acetylcholine at the neuromuscular junction. However, if too much neostigmine is given, it can lead to a cholinergic crisis characterized by excess stimulation at the neuromuscular junction. Edrophonium HCL is a fast-acting drug that can help differentiate between a myasthenic crisis (worsening of symptoms due to under-dosing of anti-cholinesterase medication like neostigmine) and a cholinergic crisis (worsening of symptoms due to over-dosing). By administering edrophonium HCL, the healthcare provider can observe the patient's response and determine if the weakness is due to under-treatment or over-treatment with
Question 5 of 5
Mr Santos is scheduled for CT SCAN for the next day, noon time. Which of the following is the correct preparation as instructed by the nurse?
Correct Answer: A
Rationale: The correct preparation for a CT scan, in this case, does not involve any special instructions such as shampooing hair, giving an enema, or shaving the scalp. The patient is simply instructed to keep their head still and steady during the scan. CT scans do not require any specific preparation unless explicitly stated by the healthcare provider conducting the test. It is important to follow the nurse's or healthcare provider's instructions carefully to ensure the best results from the CT scan.