ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
Emil, just had a thyroidectomy this morning. Upon awakening, he complains of circumoral tingling, has a positive Chvostek's sign and positive Trousseau's sign. Nurse Ofel assesses this to be an indication of:
Correct Answer: A
Rationale: The symptoms Emil is experiencing, such as circumoral tingling, positive Chvostek's sign (facial muscle spasm when the facial nerve is tapped), and positive Trousseau's sign (carpal spasm when a blood pressure cuff is inflated), are characteristic signs of hypocalcemia. Hypocalcemia commonly occurs after thyroidectomy due to inadvertent damage or removal of the parathyroid glands. These glands regulate calcium levels in the body by secreting parathyroid hormone (PTH). Therefore, the symptoms Emil is exhibiting are likely due to the overstimulation of the parathyroid hormone in response to decreased calcium levels after the thyroidectomy. Insufficient iodine intake or overuse of radioactive iodine gland would not be the most likely explanations for his symptoms.
Question 2 of 5
Which statement best represents the first stage of the first period of reactivity in the newborn?
Correct Answer: A
Rationale: The first stage of the first period of reactivity in the newborn begins when the newborn awakes from a deep sleep. This stage is characterized by increased muscle tone, alertness, and interest in the environment. It typically starts about 30 minutes after birth and can last up to 2 hours. During this stage, the newborn may be restless, have an increased heart rate, and show increased vocalization. It is an important time for bonding and initial interactions with the parents, as the newborn is most alert and responsive during this period.
Question 3 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 4 of 5
Iron chelating agents are used for treatment of:
Correct Answer: D
Rationale: Iron chelators prevent iron overload in patients with chronic hemolytic anemia requiring frequent transfusions.
Question 5 of 5
Risk factors for obstructive sleep apnea syndrome include all of the following EXCEPT
Correct Answer: B
Rationale: A small triangular chin is not a typical risk factor for obstructive sleep apnea, whereas retroposition of the mandible, long face, and soft palate abnormalities contribute to airway obstruction.