ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
Anaphylactic shock is characterized by which of the following:
Correct Answer: B
Rationale: Anaphylactic shock results in decreased systemic vascular resistance due to histamine release causing vasodilation and capillary leakage.
Question 2 of 5
What is the most common cause of convulsions in acute hyponatremia
Correct Answer: B
Rationale: Acute hyponatremia causes rapid water influx into brain cells, leading to cerebral edema, which can result in seizures and altered mental status.
Question 3 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 4 of 5
In a 28-year-old female client who is being successfully treated for Cushing syndrome, the nurse would expect a decline in:
Correct Answer: D
Rationale: In a 28-year-old female client who is being successfully treated for Cushing syndrome, a decline in menstrual flow would be expected due to the normalization of the hormonal imbalances associated with Cushing syndrome. Cushing syndrome can lead to elevated levels of cortisol, which can disrupt the normal menstrual cycle by affecting the production of reproductive hormones. As treatment successfully addresses the underlying cause of the hormonal imbalance, such as surgery to remove the source of excessive cortisol production or medication to control cortisol levels, the menstrual cycle is likely to return to normal, resulting in a decline in menstrual flow. This improvement in menstrual regularity is a positive indicator of successful treatment for Cushing syndrome in female clients.
Question 5 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.