ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
A patient who is suspected of having hypothyroidism should be expected which of these symptoms?
Correct Answer: D
Rationale: Hypothyroidism is a condition where the thyroid gland does not produce enough thyroid hormone, leading to a slowing down of the body's metabolic processes. One of the hallmark symptoms of hypothyroidism is extreme fatigue or tiredness. This can be due to the overall decrease in metabolic rate affecting energy levels and causing a feeling of exhaustion. Other common symptoms of hypothyroidism include weight gain, cold intolerance, constipation, dry skin, and depression. Tachycardia (fast heart rate), hyperthermia (elevated body temperature), and weight loss are not typically associated with hypothyroidism, but rather with conditions such as hyperthyroidism where there is an excess of thyroid hormone production.
Question 2 of 5
The child who can hop on one foot, copies circles, and brushes teeth without help has achieved the developmental age of
Correct Answer: B
Rationale: These skills are typically developed by age 3.
Question 3 of 5
A 2-month-old premature infant born at 30 weeks gestation is scheduled for an inguinal hernia repair. Which of the following preoperative findings would BEST predict an increased risk of postoperative apnea?
Correct Answer: A
Rationale: Low hemoglobin levels in a premature infant can increase the risk of postoperative apnea due to reduced oxygen-carrying capacity.
Question 4 of 5
A client on hemodialysis is complaining of muscle weakness and numbness in his legs. His lab results are: Na 136 mEq/L, K 5.9 mEq/L, Cl 100 mEq/L, ca 8.5 mg/dl. Which electrolyte imbalance is the client suffering from?
Correct Answer: A
Rationale: The client is experiencing muscle weakness and numbness in his legs, which are symptoms commonly associated with hyperkalemia (high potassium levels). The potassium level of 5.9 mEq/L is above the normal range (3.5-5.0 mEq/L), indicating hyperkalemia. Hyperkalemia can lead to muscle weakness, numbness, and potentially more severe complications like cardiac arrhythmias.
Question 5 of 5
The nurse is examining 12-month-old Amy, who was brought to the clinic for persistent diaper rash. The nurse finds perianal inflammation with satellite lesions that cross the inguinal folds. What is most likely the cause of the diaper rash?
Correct Answer: B
Rationale: The presentation of perianal inflammation with satellite lesions that cross the inguinal folds is highly suggestive of a Candida albicans (yeast) diaper rash. Yeast diaper rash is characterized by redness, swollenness, and usually involves the skin folds. The warm, moist environment created by a diaper provides an ideal setting for Candida albicans to grow and cause a rash. The presence of satellite lesions that cross the inguinal folds further supports the diagnosis of a yeast infection rather than other causes like impetigo, irritation from urine and feces, or infrequent diapering. Treatment for yeast diaper rash typically involves antifungal creams or ointments.