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
In which of the ff circumstances should a nurse avoid using midline and mid clavicular sites for IV therapy? Choose all that apply.
Correct Answer: a
Rationale: - A nurse should avoid using midline and midclavicular sites for IV therapy when administering solutions with a pH greater than 5 and less than 9 because these sites are not suitable for solutions that can cause irritation or harm to the veins.
Question 3 of 5
Why should the nurse monitor angiotensin converting enzyme inhibitors cautiously in clients with renal or hepatic impairment and in older adults?
Correct Answer: B
Rationale: Angiotensin converting enzyme (ACE) inhibitors are commonly used to manage hypertension and heart failure by blocking the conversion of angiotensin I to angiotensin II. In clients with renal or hepatic impairment, as well as in older adults, the metabolism and excretion of ACE inhibitors may be altered, leading to an increased risk of drug accumulation and potential hypotension. Monitoring these clients cautiously for a sudden drop in blood pressure, especially during the first 1-3 hours after the initial dose, is crucial to prevent complications such as dizziness, lightheadedness, and falls. Adjustments in dosage or frequency may be necessary to ensure the safe and effective use of ACE inhibitors in these populations.
Question 4 of 5
Atelectasis due to foreign body inhalation is characterized by each of the following EXCEPT:
Correct Answer: C
Rationale: Atelectasis typically causes dullness to percussion due to lung collapse. It pulls the mediastinum toward the affected side and leads to decreased breath sounds.
Question 5 of 5
The organ most seriously affected by secondary amyloidosis in patients with familial Mediterranean fever (FMF) is
Correct Answer: A
Rationale: Kidney involvement due to amyloid deposition is the most serious complication in FMF.