ATI RN
FNP Pediatric Practice Questions Questions
Question 1 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 2 of 5
Which of the following is not a criterion for a valid informed consent that a nurse should identify?
Correct Answer: B
Rationale: Coercion should not be involved in obtaining informed consent as it undermines the voluntary nature of the decision-making process. Informed consent should be freely given by the patient without any form of pressure or manipulation. The other criteria for valid informed consent that a nurse should identify include that it is freely given, includes an explanation of procedures, and describes the alternatives available to the patient.
Question 3 of 5
The nurse is providing dietary instructions to a client with hypoglycemia. To control hypoglycemic episodes, the nurse should recommend:
Correct Answer: D
Rationale: Consuming a low-carbohydrate, high-protein diet and avoiding fasting is the best recommendation to control hypoglycemic episodes in clients. When someone has hypoglycemia, their blood sugar levels drop too low. A diet that is low in carbohydrates and high in protein can help regulate blood sugar levels and prevent sudden drops that lead to hypoglycemic episodes. Additionally, avoiding fasting helps maintain a consistent intake of nutrients throughout the day, which is important for managing blood sugar levels. It is essential to eat regular, balanced meals and snacks to keep blood sugar levels stable and prevent hypoglycemia.
Question 4 of 5
When teaching a client about insulin administration, the nurse should include which instruction?
Correct Answer: D
Rationale: When mixing two types of insulin in one syringe, it is essential to draw up the clear insulin first before drawing up the cloudy insulin. This sequence prevents the clear insulin from becoming contaminated with the cloudy insulin and ensures accurate dosing. Drawing up the clear insulin first helps to minimize the risk of inaccurate dosing and maintains the effectiveness of the insulin being administered.
Question 5 of 5
A client has been diagnosed with type 1 diabetes mellitus. When teaching the client and family how diet and exercise affect insulin requirements, the nurse should include which guideline?
Correct Answer: B
Rationale: When a client with type 1 diabetes mellitus exercises or reduces their food intake, it can lead to a decrease in blood glucose levels. This is because the body is using up glucose for energy during exercise or receiving less glucose from food intake. As a result, the client would require less insulin to manage their blood glucose levels, since there is less glucose present in the bloodstream that needs to be regulated. It is important for the client and family to understand this relationship between diet, exercise, and insulin requirements to effectively manage the client's diabetes.