ATI RN
Essential of Pediatric Nursing Test Bank Questions
Question 1 of 5
Correct method of mouth to mouth respiration is that the victim's chin is held:
Correct Answer: D
Rationale: When performing the correct method of mouth-to-mouth respiration, it is essential to ensure that the victim's chin is held downward. This helps to properly open the airway, allowing for effective ventilation. By tilting the head back and holding the chin downward, you are able to align the victim's airway to allow the entry of air into the lungs during rescue breathing. Holding the chin in a downward position also helps prevent any obstruction that may hinder the flow of air. Remember to also pinch the victim's nose closed while giving breaths to ensure that the air goes into their lungs.
Question 2 of 5
Which of the ff actions should the nurse perform before a client with impaired physical mobility gets up?
Correct Answer: A
Rationale: Before a client with impaired physical mobility gets up, the nurse should ensure that the appropriate assistive device is available and properly set up for the client to use. Using parallel bars or a walker provides support and stability, helping the client maintain balance and prevent falls while standing and walking. This would be the most suitable action to take before assisting the client in getting up to ensure their safety and mobility. Applying incontinence pads, an abdominal binder, or using a footboard are not directly related to the immediate need of assisting the client with impaired physical mobility in getting up.
Question 3 of 5
The client with epilepsy is taking the prescribed dose of phenytoin (Dilantin) to control seizures. Results of a phenytoin blood level study reveal a level of 35 mcg/ml. Which of the following symptoms would be expected as a result of this laboratory result?
Correct Answer: A
Rationale: A phenytoin blood level of 35 mcg/ml is considered to be above the therapeutic range (usually 10-20 mcg/ml for phenytoin). At this elevated level, the client is at risk for phenytoin toxicity. Symptoms of phenytoin toxicity include nystagmus (rapid, involuntary eye movements), as well as other symptoms such as confusion, slurred speech, ataxia, and tremors. Tachycardia is not typically associated with phenytoin toxicity. Therefore, the expected symptom in this case would be nystagmus.
Question 4 of 5
Which of the ff should qualify as an abnormal result in a Romberg test?
Correct Answer: B
Rationale: During a Romberg test, the individual is asked to stand with feet together, arms at sides, and eyes closed. The tester then observes for swaying, losing balance, or arm drifting, which are signs of a positive Romberg test, indicating a potential issue with proprioception or vestibular function. Hypotension (choice A) refers to low blood pressure and is not directly assessed during a Romberg test. Sneezing and wheezing (choice C) are unrelated symptoms. Excessive cerumen in the outer ear (choice D) does not affect the results of a Romberg test focused on balance and proprioception.
Question 5 of 5
Which of the ff. would the nurse explain to the patient is the triad of symptoms associated with Meniere's disease?
Correct Answer: A
Rationale: Meniere's disease is a disorder of the inner ear characterized by the triad of symptoms including hearing loss, vertigo (a spinning sensation), and tinnitus (ringing in the ear). These symptoms can occur episodically and may be associated with a feeling of fullness in the affected ear. Other symptoms such as nausea and vomiting may sometimes accompany the episodes of vertigo, but the classic triad of Meniere's disease consists of hearing loss, vertigo, and tinnitus. Nystagmus, headache, and pain are not typically part of the classic presentation of Meniere's disease.