ATI RN
FNP Pediatric Practice Questions Questions
Question 1 of 5
An adult is to receive narcotic analgesics via patient controlled analgesia. The nurse is evaluating client's understanding of the procedure. Which of the following statements by the client indicates that she understand PCA?
Correct Answer: B
Rationale: Statement B, "I will press the button whenever I feel pain," indicates that the client understands how to use the patient-controlled analgesia (PCA). PCA systems are designed to allow patients to self-administer a predetermined dose of pain medication when needed. This statement demonstrates the client's comprehension that it is appropriate to use the PCA when pain is experienced, navigating the misunderstanding that pressing the button will always give more medicine (A), that it should be pressed on a scheduled basis regardless of pain (C), or that it will completely eliminate pain (D).
Question 2 of 5
A seizure characterized by loss of consciousness and tonic spasms of the trunk and extremities rapidly followed by repetitive generalized clonic jerking is classified as:
Correct Answer: C
Rationale: The description provided aligns with the characteristics of a generalized seizure. Generalized seizures involve abnormal electrical activity in the entire brain, leading to loss of consciousness and widespread motor symptoms, such as tonic (stiffening) and clonic (jerking) movements affecting both sides of the body. Examples of generalized seizures include tonic-clonic seizures (formerly known as grand mal seizures) where there is a sequence of tonic stiffness followed by clonic jerking. In contrast, focal (partial) seizures originate in a specific area of the brain and may result in localized symptoms before possibly spreading to involve both sides of the brain. Jacksonian seizures specifically refer to focal seizures with motor symptoms that spread in a stepwise fashion, starting from one part of the body.
Question 3 of 5
When doing a nutritional assessment on a Hispanic family, the nurse learns that their diet consists mainly of vegetables, legumes, and starches. How should the nurse assess this diet?
Correct Answer: C
Rationale: The nurse should assess that the diet of the Hispanic family, which consists mainly of vegetables, legumes, and starches, may provide sufficient amino acids. While this diet may lack animal sources of protein commonly found in meat and milk, plant-based foods like legumes and grains can complement each other to provide all essential amino acids necessary for protein synthesis in the body. This combination of foods essentially forms a complete protein source, supporting overall nutritional needs. It's important for the nurse to recognize the potential nutritional value in the diet and offer education on balanced meal planning to ensure adequate protein intake for the family. The assessment should focus on the overall nutrient adequacy and not solely on the presence of specific food items.
Question 4 of 5
A 3-year-old boy is hospitalized after falling down the stairs. His mother cries, 'This is all my fault.' Which is the nurse's best response?
Correct Answer: B
Rationale: Reassuring the parent that falls are common in young children can help reduce guilt and anxiety.
Question 5 of 5
The newborn with severe jaundice is at risk for developing:
Correct Answer: A
Rationale: Severe jaundice in a newborn puts them at risk for developing encephalopathy, which is a condition where bilirubin levels are significantly elevated and can lead to central nervous system dysfunction. If untreated or not managed promptly, high levels of bilirubin can potentially lead to brain damage. It is crucial to monitor and treat severe jaundice in newborns to prevent neurological complications like encephalopathy. Options B, C, and D are not directly associated with severe jaundice in newborns.