ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 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 2 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.
Question 3 of 5
A client who is receiving a blood transfusion begins to experience chills, shortness of breath, nausea, excessive perspiration, and a vague sense of uneasiness. What is the nurse's first best action?
Correct Answer: D
Rationale: The client is exhibiting signs of a transfusion reaction, most likely a hemolytic reaction. The first best action for the nurse to take in this situation is to immediately stop the blood transfusion to prevent further complications for the client. Once the infusion is stopped, the nurse can then proceed with assessing the client's vital signs, respiratory status, and other appropriate interventions. It is crucial to prioritize stopping the transfusion to ensure the client's safety and well-being.
Question 4 of 5
Which of the ff instructions should a nurse give a client with Hodgkin's disease who is at risk of impaired skin integrity? Choose all that apply
Correct Answer: B
Rationale: In pediatric nursing, caring for a child with Hodgkin's disease requires a comprehensive approach to prevent complications like impaired skin integrity. The correct instruction for the client at risk is to keep the neck in midline (Option B). This is crucial as it helps maintain proper alignment of the spine, reducing pressure on the skin and preventing breakdown. Placing the neck off midline can lead to increased pressure on certain areas, which can compromise skin integrity. Trimming nails short (Option A) is essential to prevent accidental scratches or injuries, but it is not directly related to preventing impaired skin integrity in this context. Using mild soap (Option C) is a good practice for skin care, but it does not specifically address the risk of impaired skin integrity in a client with Hodgkin's disease. Supporting and protecting bony prominences (Option D) is important for preventing pressure ulcers, but it is not as directly related to maintaining skin integrity in this scenario as keeping the neck in midline. Educationally, it is vital for nurses to understand the specific needs of pediatric clients with Hodgkin's disease and the importance of interventions that can prevent complications such as impaired skin integrity. By focusing on maintaining proper alignment and reducing pressure on vulnerable areas, nurses can provide optimal care for these patients.
Question 5 of 5
After being in remission from Hodgkin's disease for 18 months, a client develops a fever of unknown origin. The physician orders a blind liver biopsy to rule out advancing Hodgkin'sdisease and infection. Twenty-four hours after the biopsy, the client has a fever, complains of severe abdominal pain, and seems increasingly confused. The nurse suspects that these finding result from:
Correct Answer: A
Rationale: The symptoms of fever, severe abdominal pain, and increasing confusion following a liver biopsy are indicative of a potential complication such as bleeding in the liver caused by the biopsy. Hepatic bleeding can lead to abdominal pain and can cause a change in the level of consciousness. These symptoms should prompt immediate medical attention to address the bleeding and prevent further complications. Perforation of the colon, an allergic reaction to contrast media, or normal post-procedural pain would not typically present with these specific symptoms in this context.