ATI RN
FNP Pediatric Practice Questions Questions
Question 1 of 5
A newborn begins to cough, choke, and becomes cyanotic while feeding. What is the nurse's immediate action?
Correct Answer: C
Rationale: Immediate removal from the feeding situation and rapid assessment with oxygen support is critical for airway safety.
Question 2 of 5
A school-age child is admitted to the hospital with acute glomerulonephritis and oliguria. Which dietary menu items should be allowed for this child? (Select all that apply.)
Correct Answer: A
Rationale: Apples, bananas, and strawberries are all suitable choices for a child with acute glomerulonephritis and oliguria. These fruits are high in water content and are not typically restricted in the diet of a child with this condition. It is important to provide hydration through food sources for a child experiencing oliguria. However, foods high in sodium, potassium, and protein (such as cheese) may need to be limited or modified based on the child's condition and the doctor's recommendations. Carrot sticks, although generally a healthy choice, may have high potassium content which could be restricted based on the child's individual dietary requirements.
Question 3 of 5
Bacterial meningitis alters intracranial physiology, causing:
Correct Answer: D
Rationale: Bacterial meningitis can lead to cerebral edema by causing an inflammatory response within the brain tissue. This inflammation can result in the buildup of fluid, leading to edema. Additionally, the inflammatory response can cause an increase in permeability of the blood-brain barrier, allowing substances that are not normally able to cross the barrier to do so. This can lead to further disruption in the balance of fluid within the brain. Finally, the inflammatory response and the buildup of fluid can also result in raised intracranial pressure, which can further exacerbate the physiological changes occurring in the brain. Therefore, all of the above changes - cerebral edema, increased permeability of the blood-brain barrier, and raised intracranial pressure - can be seen in cases of bacterial meningitis.
Question 4 of 5
A patient had a lumbar injury. Which neurological test by the nurse would be affected?
Correct Answer: C
Rationale: Romberg's test is a neurological test that assesses the function of the dorsal columns of the spinal cord, which are responsible for proprioception and vibration sensations. A lumbar injury can affect these dorsal columns, leading to impaired proprioception. Therefore, the Romberg's test would be affected due to the compromised sensory input from the lower extremities. This test usually involves asking the patient to stand with feet together and eyes closed to assess balance and proprioception.
Question 5 of 5
The nurse has been teaching an adult who has iron deficiency anemia about those foods that she needs to include in her meal plans. Which of the following, if selected, would indicate to the nurse that the client understands the dietary instructions?
Correct Answer: A
Rationale: Citrus fruits and green leafy vegetables are good sources of vitamin C and non-heme iron, which can help improve iron absorption in individuals with iron deficiency anemia. Bananas and nuts do not have a direct impact on iron absorption. Coffee and tea contain compounds that can inhibit iron absorption. Dairy products, while an important part of a balanced diet, do not specifically aid in improving iron levels. Thus, selecting citrus fruits and green leafy vegetables indicates that the client understands the dietary instructions provided by the nurse to manage iron deficiency anemia.