ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
A diabetic client develops sinusitis and otitis media accompanied by a fever of 100.8â—‹0 F (38.2â—‹0 C). What effect may this have on his need for insulin?
Correct Answer: D
Rationale: When a diabetic client develops an infection, such as sinusitis and otitis media with a fever, the stress response can increase blood glucose levels. Infections trigger the release of stress hormones like cortisol and adrenaline, which can lead to insulin resistance. Insulin requirements may increase during an infection due to the elevated blood glucose levels and the body's increased demand for energy to fight the infection. Therefore, the diabetic client with sinusitis and otitis media accompanied by a fever of 100.8°F (38.2°C) will likely require an increase in their insulin dosage to help control their blood glucose levels during this period.
Question 2 of 5
The normal life expectancy for 50% of patients ith amyotropic lateral sclerosis (ALS) is:
Correct Answer: A
Rationale: Amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease, is a progressive and fatal neurodegenerative disease that affects the nerve cells in the brain and spinal cord. The average life expectancy for individuals with ALS is around 2 to 5 years from the time of diagnosis. Therefore, the normal life expectancy for 50% of patients with ALS would be closer to the midpoint of this range, which is approximately 3 years. While some individuals may live longer than 3 years with ALS, for 50% of patients, this would be a reasonable estimate based on the typical progression of the disease.
Question 3 of 5
Mr. Reyes has a possible skull fracture. The nurse should:
Correct Answer: A
Rationale: When a patient is suspected to have a possible skull fracture, the nurse should observe him for signs of brain injury. Signs of brain injury can include changes in level of consciousness, altered pupil size or reaction to light, slurred speech, weakness or numbness in extremities, seizures, severe headache, vomiting, and vision changes. Monitoring for these signs would help in early detection of any worsening condition or complications related to the skull fracture. It is crucial to assess and monitor the patient's neurological status closely to provide timely interventions and prevent further damage.
Question 4 of 5
Considering Mr. Franco's conditions, which of the following is most important to include in preparing Franco's bedside equipment?
Correct Answer: C
Rationale: Mr. Franco's conditions indicate a need for positioning aids and support to prevent pressure ulcers and maintain proper alignment. Sandbags can be used to provide support and stability for his lower extremities, while trochanter rolls can help maintain proper alignment of his hips and prevent external rotation of the legs. These aids are crucial in ensuring Mr. Franco's comfort, safety, and overall well-being during his stay in bed.
Question 5 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.