ATI RN
FNP Pediatric Practice Questions Questions
Question 1 of 5
As the nurse cares for a patient with angioedema, differs from urticaria in that angioedema is characterized by which of the following?
Correct Answer: C
Rationale: Angioedema differs from urticaria in that it involves deeper layers of the skin and subcutaneous tissue compared to urticaria, which affects the upper layers of the skin. This deeper involvement in angioedema can lead to swelling that appears as large, raised areas that often have a deeper hue compared to the surrounding skin. Angioedema does not typically involve small, fluid-filled vesicles like urticaria, and it is not necessarily more pruritic. Additionally, angioedema tends to last longer than urticaria, which is why option D is not accurate.
Question 2 of 5
The nurse is teaching a client who will be discharged soon how to change a sterile dressing on the right leg. During the teaching session, the nurse notices redness, swelling and induration at the wound site. What do these signs suggest?
Correct Answer: A
Rationale: The presence of redness, swelling, and induration at the wound site are classic signs of infection. Redness is caused by inflammation, swelling occurs due to fluid accumulation in response to infection, and induration refers to the hardening of the tissue, which is a result of the body's immune response. Infections can lead to delayed wound healing, increased pain, and other complications. It is essential to address these signs promptly to prevent further complications and promote healing.
Question 3 of 5
A client with idiopathic thrombocytopenic purpura (ITP), an autoimmune disorder, is admitted to an acute care facility. Concerned about hemorrhage, the nurse monitors the client's platelet count and observes closely for signs and symptoms of bleeding. The client is at greatest risk for cerebral hemorrhage when the platelet count falls below:
Correct Answer: B
Rationale: In a client with idiopathic thrombocytopenic purpura (ITP), a platelet count falling below 20,000/ul puts them at the greatest risk for cerebral hemorrhage. This is because the risk of spontaneous bleeding, especially in critical areas like the brain, significantly increases as platelet counts drop below this level. The brain is a sensitive organ, and even minor bleeds can have serious consequences. Therefore, it is crucial for healthcare providers to closely monitor platelet counts and promptly intervene to prevent life-threatening hemorrhage in clients with ITP.
Question 4 of 5
A client with rheumatoid arthritis is being discharged with a prescription for aspirin (Ecotrin), 600mg PO every 6 hours. The nurse should instruct the client to notify the physician if which adverse drug reaction occurs?
Correct Answer: B
Rationale: Tinnitus is a known adverse drug reaction to aspirin, especially at higher doses. Tinnitus is described as ringing, buzzing, or other noises in the ears. If a client experiences tinnitus while taking aspirin, it is important to notify the physician promptly as it could be a sign of aspirin toxicity. Monitoring and managing this adverse reaction are crucial to prevent further complications for the client.
Question 5 of 5
The nurse is caring for a client with thrombocytopenia. What is the best way to protect this client?
Correct Answer: C
Rationale: Thrombocytopenia is a condition characterized by a low platelet count in the blood, which can lead to abnormal bleeding and bruising. Using the smallest needle possible for injections helps minimize the risk of causing bleeding or bruising in clients with thrombocytopenia. Larger needles can cause more tissue damage and increase the chances of bleeding complications in these individuals. Therefore, using the smallest needle possible is the best way to protect the client from potential harm related to their condition.