ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
A clinical feature that distinguishes a hypoglycemic reaction from a ketoacidosis reaction is:
Correct Answer: B
Rationale: Diaphoresis, which refers to excessive sweating, is a common clinical feature seen in a hypoglycemic reaction. Hypoglycemia occurs when the blood sugar level drops too low, leading to symptoms like sweating, shakiness, confusion, and rapid heartbeat. On the other hand, ketoacidosis is a serious complication of diabetes that occurs when there is a lack of insulin, causing high blood sugar levels and the body to break down fat for energy. Symptoms of ketoacidosis include nausea, vomiting, abdominal pain, and fruity-smelling breath, but diaphoresis is not typically a prominent feature. Therefore, diaphoresis can help clinicians differentiate between hypoglycemic and ketoacidosis reactions.
Question 2 of 5
yousef is 18 months old, you counsel his mother that the best procedure to follow, if her child swallows something poisonous first to:
Correct Answer: A
Rationale: The best procedure to follow if a child swallows something poisonous is to telephone the local poison control center. The experts at the poison control center can provide immediate guidance on how to handle the situation based on the specific substance ingested and the child's age and weight. They will advise whether it is necessary to bring the child to the emergency room, induce vomiting, or take other appropriate actions. Providing milk to drink to induce vomiting is not recommended as it can lead to further complications. Identifying the substance the child swallowed is important, but the first step should be to contact the poison control center for immediate assistance.
Question 3 of 5
Which statement best represents the first stage of the first period of reactivity in the newborn?
Correct Answer: A
Rationale: The first stage of the first period of reactivity in the newborn begins when the newborn awakes from a deep sleep. This stage is characterized by increased muscle tone, alertness, and interest in the environment. It typically starts about 30 minutes after birth and can last up to 2 hours. During this stage, the newborn may be restless, have an increased heart rate, and show increased vocalization. It is an important time for bonding and initial interactions with the parents, as the newborn is most alert and responsive during this period.
Question 4 of 5
A new mother wants to be discharged with her newborn as soon as possible. What should be done prior to discharge?
Correct Answer: D
Rationale: Prior to discharge from the hospital, it is important that a new mother makes an appointment for home care or a primary care practitioner office visit within the next 2 or 3 days for the newborn. This ensures that the newborn will receive necessary follow-up care, monitoring, and evaluation after leaving the hospital. It is crucial for the newborn's health and well-being to have timely postnatal check-ups to address any concerns or issues that may arise in the early days after birth. This follow-up care also allows healthcare providers to assess the newborn's growth, feeding, and overall health progression.
Question 5 of 5
Parents tell the nurse that their child keeps scratching the areas where he has poison ivy. The nurse's response should be based on which knowledge?
Correct Answer: D
Rationale: Scratching the lesions caused by poison ivy may result in them becoming secondarily infected. It is important to advise against scratching the affected areas to prevent the introduction of bacteria from under the fingernails or through broken skin, which can lead to infection. This can complicate the initial skin irritation caused by the poison ivy rash. Encouraging the child to avoid scratching and keeping the affected areas clean can help prevent secondary infections and promote healing.