ATI RN
Introduction to Maternity and Pediatric Nursing Test Bank Questions
Question 1 of 5
ahmed 2 months old come to emergency department with epistaxis and prolong PTT, clotting and bleeding time , what you suspect ahmed have :
Correct Answer: B
Rationale: Ahmed is presenting with epistaxis (nosebleed) and prolonged PTT (partial thromboplastin time), clotting time, and bleeding time, which are indicative of a bleeding disorder. Given the symptoms and lab findings, hemophilia is the most likely cause. Hemophilia is an inherited bleeding disorder characterized by deficiency or dysfunction of clotting factors, particularly Factor VIII (hemophilia A) or Factor IX (hemophilia B). Patients with hemophilia often present with spontaneous bleeding episodes, such as nosebleeds, bruising, and prolonged bleeding after injury or surgery. Thalassemia, leukemia, and sickle cell anemia are not associated with prolonged clotting times and bleeding presentations, making hemophilia the most appropriate choice in this scenario.
Question 2 of 5
Which is the nurse's best interpretation of this?
Correct Answer: B
Rationale: The nurse's best interpretation is that the adjustment to extrauterine life is adequate. This can be determined by the Apgar score, which assesses a newborn's well-being shortly after birth. A score of 7-10 indicates that the newborn is adjusting well to life outside the womb, while a score of 4-6 may indicate some difficulties that may require intervention. In this case, the nurse's interpretation suggests that the newborn is doing well in adapting to the new environment.
Question 3 of 5
The nurse is careful to place the incubator away from cold windows or air-conditioning units. This is to conserve the newborn's body heat by preventing heat loss through:
Correct Answer: A
Rationale: Placing the incubator away from cold windows or air-conditioning units helps prevent heat loss through radiation. Radiation is the transfer of heat in the form of electromagnetic waves, such as infrared radiation, from a warmer object to a cooler one without direct contact. In this case, the newborn's body heat could be lost to the colder objects (windows or air-conditioning units) through radiation if they were in close proximity. By placing the incubator away from these cold surfaces, the nurse can minimize the heat loss through radiation and help conserve the newborn's body heat.
Question 4 of 5
The nurse is taking care of a 2-year-old child with a macule skin lesion. Which clinical finding should the nurse expect to assess with this type of lesion?
Correct Answer: A
Rationale: A macule is a flat, nonpalpable, and discolored area on the skin that is less than 1 cm in diameter. This type of skin lesion is typically characterized by a change in color without any change in texture or thickness of the skin. The clinical finding associated with a macule is a flat, nonpalpable lesion that is smaller in size (less than 1 cm) and regularly shaped. Therefore, the nurse should expect to assess a flat, nonpalpable, and irregularly shaped lesion that is greater than 1 cm in diameter with a different type of skin lesion, not a macule.
Question 5 of 5
The single parent of a 3-year-old child who has just been diagnosed with chickenpox tells the nurse that she cannot afford to stay home with the child and miss work. The parent asks the nurse if some medication will shorten the course of the illness. Which is the most appropriate nursing intervention?
Correct Answer: B
Rationale: The most appropriate nursing intervention in this scenario is to explain to the parent that no medication will shorten the course of chickenpox. Chickenpox is a viral illness caused by the varicella-zoster virus, and there is no specific treatment to shorten its duration. Antiviral medications like acyclovir are typically reserved for severe cases or for individuals with compromised immune systems. VCZ immune globulin (VariZIG) is used for post-exposure prophylaxis in susceptible individuals who have been exposed to chickenpox and are at high risk for severe disease.