ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 5
As the surgical incision is closed, who are the personnel in-charge in counting the needles, sponges, and instruments?
Correct Answer: C
Rationale: During the surgical procedure, the circulating nurse, scrub nurse, and nurse first assistant are responsible for keeping track of all instruments, needles, and sponges used. As the surgical incision is being closed, the circulating nurse and the scrub nurse/nurse first assistant conduct a final count of all needles, sponges, and instruments to ensure that nothing is accidentally left inside the patient's body. This is a critical step in preventing retained surgical items (RSI), which can lead to serious complications for the patient. It is part of the standard protocol in the operating room to have these specific personnel take charge of counting and verifying all items before the procedure is concluded.
Question 2 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.
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 basic principle of healthy sleep hygiene which is NOT included is
Correct Answer: D
Rationale: Heavy meals close to bedtime disrupt sleep.
Question 5 of 5
A client with group AB blood whose husband has group O has just given birth. The major sign of ABO blood incompatibility in the neonate is which complication or test result?
Correct Answer: D
Rationale: A neonate born to a mother with blood type AB and a father with blood type O is at risk for ABO blood incompatibility, particularly if the neonate is blood type A or B. The major sign of ABO blood incompatibility in the neonate is the development of jaundice within the first 24 hours of life. This occurs due to the mismatch in blood types between the mother and the neonate, leading to the destruction of the neonate's red blood cells. This destruction releases bilirubin, causing jaundice. It is important to note that unlike Rh incompatibility, ABO incompatibility usually does not lead to severe complications requiring treatment. A positive Coombs test result is not typically seen in ABO blood incompatibility.