ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
A school-age child with chronic renal failure is admitted to the hospital with a serum potassium level of 5.2 mEq/L. Which prescribed medication should the nurse plan to administer?
Correct Answer: B
Rationale: A serum potassium level of 5.2 mEq/L indicates hyperkalemia, which can be dangerous for a child with chronic renal failure. Sodium polystyrene sulfonate (Kayexalate) is a medication commonly used to treat hyperkalemia by exchanging sodium ions for potassium ions in the intestine, promoting the elimination of excess potassium through the gastrointestinal tract. This helps lower the serum potassium levels and prevent complications associated with hyperkalemia. Spironolactone (Aldactone) is a potassium-sparing diuretic and should be avoided in a child with hyperkalemia. Lactulose (Cephulac) is a laxative and does not directly address high potassium levels. Calcium carbonate (Calcitab) is a calcium supplement and is not indicated for managing hyperkalemia.
Question 2 of 5
In severe form of Tetralogy of Fallot, all are true Except:
Correct Answer: A
Rationale: Severe TOF typically presents with cyanosis, clubbing, right ventricular hypertrophy, and a systolic murmur. Cardiomegaly is not a common feature as the right ventricle is hypertrophied but not dilated.
Question 3 of 5
The nurse is assisting a health care provider (HCP) examining an infant with developmental dysplasia of the hip perform an Ortolani maneuver. The nurse understands that this maneuver is performed for which purpose?
Correct Answer: A
Rationale: The Ortolani maneuver is a physical examination test specifically used to assess for hip instability in infants with suspected developmental dysplasia of the hip (DDH). This maneuver helps the healthcare provider determine if the femoral head can be gently relocated into the acetabulum, which can indicate the presence of hip dysplasia in newborns. Hip instability may be a sign of DDH, which is a condition where the hip joint has not developed properly. It is crucial to detect DDH early to prevent long-term complications such as hip dysplasia or dislocations.
Question 4 of 5
Epstein-Barr virus (EBV) infection is more likely to be associated with all the following malignancies EXCEPT
Correct Answer: B
Rationale: EBV is not typically associated with nasopharyngeal T-cell lymphoma but is linked to B-cell lymphomas and carcinomas.
Question 5 of 5
A 2-year-old admitted 2 days ago is crying and inconsolable. The nurse tells the parents this is the:
Correct Answer: D
Rationale: The protest stage is common in hospitalized children experiencing separation anxiety, characterized by excessive crying and clinginess.