ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
All the following are long-term complications of intravenous cyclophosphamide EXCEPT
Correct Answer: B
Rationale: While bladder cancer is a recognized complication, it is less common compared to bone marrow suppression, leukemia, and infertility.
Question 2 of 5
Acute laryngotracheobronchitis is associated with which of the following radiological signs:
Correct Answer: C
Rationale: The steeple sign is a characteristic radiological feature of acute laryngotracheobronchitis (croup). It results from subglottic airway narrowing, visible on anteroposterior neck X-rays as a tapering of the trachea.
Question 3 of 5
A term infant presents with tachypnea, grunting, and nasal flaring shortly after birth. A chest X-ray shows fluid in the lung fissures. What is the most likely diagnosis?
Correct Answer: C
Rationale: Transient tachypnea of the newborn (TTN) is caused by delayed clearance of fetal lung fluid, common in infants born via cesarean section. Symptoms resolve within 24-72 hours with supportive care.
Question 4 of 5
High pH, low carbon dioxide & normal bicarbonate best fit which of the following disorders?
Correct Answer: D
Rationale: Uncompensated respiratory alkalosis results from excessive ventilation, leading to low COâ‚‚ and a high pH. Normal bicarbonate indicates that metabolic compensation has not yet occurred.
Question 5 of 5
A female client age 66 is admitted ff a nephrolithomy. One of her laboratory tests reveals a urinary tract infection. Which would be the best nursing action in her case?
Correct Answer: C
Rationale: In the case of a female client age 66 admitted for a nephrolithotomy with a urinary tract infection, the best nursing action is to encourage fluid intake of 3000ml/day. Adequate hydration helps in flushing out the bacteria causing the urinary tract infection and can prevent further complications. Increasing fluid intake also helps in preventing the formation of new kidney stones. Administering IV fluids and blood transfusions may be necessary based on the patient's overall condition, but the priority action in this case is to promote increased oral fluid intake. Administering narcotic analgesics as prescribed can help manage pain related to the nephrolithotomy procedure, but it does not directly address the urinary tract infection. Suggesting taking herbs or spices to increase food palatability is not the priority in this situation and may not contribute significantly to the management of the urinary tract infection.