ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
Clinical examination of a child with large unilateral pneumothorax can show:
Correct Answer: A
Rationale: A large pneumothorax decreases breath sounds due to collapsed lung tissue.
Question 2 of 5
The basic defect requiring treatment in RDS is
Correct Answer: D
Rationale: The primary defect in RDS is inadequate pulmonary gas exchange due to surfactant deficiency. The other issues may arise but are secondary to the primary problem.
Question 3 of 5
Why should the nurse monitor angiotensin converting enzyme inhibitors cautiously in clients with renal or hepatic impairment and in older adults?
Correct Answer: B
Rationale: Angiotensin converting enzyme (ACE) inhibitors are commonly used to manage hypertension and heart failure by blocking the conversion of angiotensin I to angiotensin II. In clients with renal or hepatic impairment, as well as in older adults, the metabolism and excretion of ACE inhibitors may be altered, leading to an increased risk of drug accumulation and potential hypotension. Monitoring these clients cautiously for a sudden drop in blood pressure, especially during the first 1-3 hours after the initial dose, is crucial to prevent complications such as dizziness, lightheadedness, and falls. Adjustments in dosage or frequency may be necessary to ensure the safe and effective use of ACE inhibitors in these populations.
Question 4 of 5
Acidosis in renal failure is more likely to be associated with which of the following:
Correct Answer: D
Rationale: Acidosis in renal failure is associated with a wide anion gap due to the accumulation of unmeasured anions like sulfates and phosphates, which the kidneys fail to excrete effectively.
Question 5 of 5
Criteria of patent ductus arteriosus (PDA)?
Correct Answer: A
Rationale: Wide pulse pressure is a characteristic feature of PDA due to continuous blood flow between the aorta and pulmonary artery.