ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
A mother requests that her child receive the varicella vaccine at the 9-month checkup. The nurse's best response is:
Correct Answer: B
Rationale: The varicella vaccine is typically not given until the child is 12 months or older.
Question 2 of 5
A patient is being taught the action of digoxin, which is an inotropic agent. The nurse defines an inotropic agent as a medication that has which of the following actions?
Correct Answer: D
Rationale: An inotropic agent, such as digoxin, is a medication that strengthens the contraction of the heart muscle. It works by increasing the force of each heartbeat, helping the heart pump more efficiently. This can be beneficial in conditions such as heart failure or certain types of arrhythmias where the heart's pumping ability is compromised. Inotropic agents do not decrease heart rate, increase conduction time, or increase heart rate; their primary action is to enhance the heart's contractility.
Question 3 of 5
The MOST appropriate answer to why infants cry in response to another infant's cry is
Correct Answer: A
Rationale: Empathy begins developing early, though rudimentary.
Question 4 of 5
Complete bed rest What is the most common congenital heart disease?
Correct Answer: C
Rationale: The most common congenital heart disease is Ventricular Septal Defect (VSD). VSD is a heart condition present at birth where there is a hole in the wall (septum) separating the lower chambers of the heart (ventricles). This hole allows oxygen-rich blood from the left ventricle to mix with oxygen-poor blood in the right ventricle, leading to increased pulmonary blood flow and potentially causing complications such as pulmonary hypertension and right ventricular hypertrophy. VSD can be classified as an acyanotic heart defect with a left to right shunt. Treatment options for VSD include monitoring, medications, and in some cases, surgical intervention.
Question 5 of 5
Which of the following settings is most therapeutic for an agitated head-injured patient?
Correct Answer: B
Rationale: For an agitated head-injured patient, the most therapeutic setting would be a semiprivate room with one or two consistent caregivers. Consistency and familiarity can help reduce agitation and promote a sense of security for the patient. A quieter environment with fewer stimuli can also help in managing agitation and promoting a sense of calmness. By having consistent caregivers, the patient can build trust and feel more comfortable, which can contribute to their overall well-being and recovery. It is essential to minimize external factors that could contribute to further agitation, making a semiprivate room with consistent caregivers the most optimal setting for an agitated head-injured patient.