ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
After receiving a dose of penicillin, a client develops dyspnea and hypotension. The nurse suspects the client is experiencing anaphylactic shock. What should the nurse do first?
Correct Answer: B
Rationale: When a client exhibits symptoms of anaphylactic shock after receiving penicillin, the priority nursing intervention is to administer epinephrine, as prescribed, to counteract the severe allergic reaction. Epinephrine helps to improve breathing and increase blood pressure. Intubation may be necessary in severe cases to maintain airway patency. Therefore, the nurse should administer epinephrine first before considering intubation. It is crucial to act swiftly to prevent further deterioration in the client's condition.
Question 2 of 5
Which iron-rich foods should the nurse encourage an anemic client requiring iron therapy to eat?
Correct Answer: D
Rationale: Both lamb and peaches are rich sources of iron. Lamb is a type of red meat that is high in heme iron, which is a form of iron that is easily absorbed by the body. Peaches, on the other hand, are a fruit that contains non-heme iron, which is not as easily absorbed but can still contribute to increasing iron levels in the body. Including these iron-rich foods in the diet of an anemic client can help improve their iron levels and overall health.
Question 3 of 5
Aisa is to receive a liquid iron preparation. Which of the following directions would be appropriate for the nurse to teach Aisa's mother? a.Administer this at least an hour before meals
Correct Answer: C
Rationale: Avoid giving Aisa orange or other citric juices with the iron preparation. Citric juices, such as orange juice, can decrease the absorption of iron in the body. Therefore, it is important to avoid giving these juices when administering the liquid iron preparation to Aisa to ensure optimal absorption of the iron. It would be best to encourage the use of non-citric juices or water when administering the iron preparation to Aisa.
Question 4 of 5
The nurse is preparing to assist the physician with a bone marrow biopsy. Which of the ff. interventions is most important for the nurse to do before the procedure?
Correct Answer: B
Rationale: Before a bone marrow biopsy procedure, it is most important for the nurse to observe the patient for any signs of bleeding. This includes assessing the patient's coagulation status, looking for any bleeding disorders, and checking the patient's platelet levels. By monitoring for bleeding tendencies before the procedure, the nurse can ensure that the patient is in a stable condition to undergo the bone marrow biopsy safely. Additionally, post-procedure monitoring for bleeding is crucial to prevent complications such as hematoma formation. Explaining the procedure to the family, administering an analgesic, and draping the biopsy site are important steps, but ensuring the patient's safety by assessing for bleeding is the highest priority.
Question 5 of 5
Which of the ff. conditions places a patient at risk for respiratory complications following his splenectomy?
Correct Answer: C
Rationale: An incision near the diaphragm places a patient at risk for respiratory complications following a splenectomy. The diaphragm is the major muscle involved in the process of breathing, and if there is disruption or irritation near this area, it can lead to respiratory difficulties such as decreased lung expansion and pain on deep breathing. This can increase the risk of complications such as pneumonia, atelectasis, or respiratory distress. Therefore, special care should be taken to monitor and manage respiratory function in patients with incisions near the diaphragm post-splenectomy.