ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 of 5
For children receiving steroid therapy, which of the following regimens is most appropriate for perioperative management?
Correct Answer: C
Rationale: Hydrocortisone is commonly used for perioperative steroid coverage due to its mineralocorticoid and glucocorticoid effects.
Question 2 of 5
Building a tower by a 22-month-old child requires
Correct Answer: A
Rationale: Tower building primarily involves visual-motor coordination.
Question 3 of 5
A patient admitted with gastrointestinal tract bleeding has a hemoglobin level of 6 g/dL. She asks the nurse why she feels SOB. Which response is best?
Correct Answer: B
Rationale: The best response is option B, "You do not have enough hemoglobin to carry oxygen to your tissues." Hemoglobin is the protein in red blood cells that carries oxygen from the lungs to the tissues throughout the body. With a low hemoglobin level of 6 g/dL due to gastrointestinal tract bleeding, there is a reduced capacity to carry oxygen to the body's tissues. This decreased oxygen-carrying capacity leads to symptoms of shortness of breath (SOB) because the body's cells are not receiving an adequate supply of oxygen. It is important to provide a clear and accurate explanation to the patient about the relationship between hemoglobin, oxygen transport, and symptoms of anemia like shortness of breath.
Question 4 of 5
Aling Loida, who was admitted for acute pancreatitis, starts complaining of acute abdominal pain, which of the following would be an appropriate nursing interventions by Nurse Norma?
Correct Answer: A
Rationale: Administering morphine sulfate as ordered would be an appropriate nursing intervention for Aling Loida who is complaining of acute abdominal pain. Morphine is a potent analgesic that can help alleviate severe pain. Pain management is crucial in acute pancreatitis to help the patient feel more comfortable and to improve their overall well-being. It is important to follow the healthcare provider's orders regarding the administration of pain medication to ensure effective pain relief for the patient.
Question 5 of 5
The primary underlying disorder of pulmonary edema is:
Correct Answer: A
Rationale: Pulmonary edema is a condition where fluid accumulates in the air sacs of the lungs, leading to difficulty breathing. The primary underlying disorder of pulmonary edema is often decreased left ventricular pumping. When the left ventricle of the heart fails to effectively pump blood to the rest of the body, it can lead to a backlog of blood in the pulmonary circulation. This increase in pressure in the pulmonary circulation can cause fluid to leak out of the capillaries and into the alveoli of the lungs, resulting in pulmonary edema. Therefore, decreased left ventricular pumping is a key factor in the development of pulmonary edema.