ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
Atelectasis due to foreign body inhalation is characterized by each of the following EXCEPT:
Correct Answer: C
Rationale: Atelectasis typically causes dullness to percussion due to lung collapse. It pulls the mediastinum toward the affected side and leads to decreased breath sounds.
Question 2 of 5
Contact lenses are associated with
Correct Answer: D
Rationale: Giant papillary conjunctivitis is common in contact lens wearers due to chronic mechanical irritation and immune response.
Question 3 of 5
A preterm infant develops sudden onset respiratory distress with decreased breath sounds and increased transillumination on one side. What is the most likely diagnosis?
Correct Answer: C
Rationale: A pneumothorax presents with acute respiratory distress, asymmetrical breath sounds, and increased transillumination on the affected side. It occurs due to alveolar rupture, often in ventilated preterm infants with underlying lung disease.
Question 4 of 5
Hyperkalemia without K+ excess occurs in:
Correct Answer: B
Rationale: In tumor lysis syndrome and leukocytosis, massive cell lysis leads to potassium release, causing hyperkalemia despite normal intake.
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.