ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 5
An adolescent patient with chronic asthma, who has been hospitalized several times during the winter with severe asthmatic exacerbations, confides, 'I wish I could stay here in the hospital because every time I go home, I get sick again!' What is the pediatric nurse's best response?
Correct Answer: A
Rationale: Discussing strategies to manage asthma at home empowers the patient and addresses the root cause of recurrent exacerbations.
Question 2 of 5
Aisa is to have blood transfusion. Which of the following problems is most likely associated with blood transfusion?
Correct Answer: D
Rationale: A hemolytic reaction is the most likely problem associated with blood transfusion. A hemolytic reaction occurs when the body's immune system attacks the transfused blood, leading to the destruction of red blood cells. This reaction can cause serious complications, including kidney damage, shock, and even death. It is crucial for healthcare providers to carefully match blood types and perform compatibility testing before administering a blood transfusion to minimize the risk of a hemolytic reaction. Serum hepatitis, pulmonary edema, and allergic responses are potential complications of blood transfusions, but hemolytic reactions pose the most immediate and severe threat to the patient's health.
Question 3 of 5
In Langerhans cell histiocytosis (LCH), all the following manifestations are at high risk of mortality in patients EXCEPT
Correct Answer: C
Rationale: Lung involvement, while serious, is less lethal compared to liver, spleen, or hematopoietic system involvement.
Question 4 of 5
The child refusing to go to bed and remaining active is likely due to
Correct Answer: D
Rationale: Limit-setting insomnia involves resistance to bedtime routines.
Question 5 of 5
At what age should the nurse expect an infant to begin smiling in response to pleasurable stimuli?
Correct Answer: B
Rationale: Infants typically begin to smile in response to pleasurable stimuli around 2 months of age. This social smile is an important developmental milestone in infants and signifies their growing social awareness and ability to engage with others. By the age of 2 months, infants are starting to develop social connections and recognize familiar faces, which often elicits smiles in response to positive interactions. Though some infants may start smiling earlier or later, the average age for the emergence of social smiles is around 2 months.