ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
Four-year-old Brian appears to be upset by hospitalization. Which is an appropriate intervention?
Correct Answer: A
Rationale: Option A, "Let him know it is all right to cry," is the most appropriate intervention for a four-year-old like Brian who appears to be upset by hospitalization. Acknowledging and validating his emotions, including the possibility of crying, is important for his emotional well-being. By letting Brian know it is okay to express his feelings, he can feel supported and understood during a potentially difficult time. It is crucial for children to feel that their emotions are valid and accepted, promoting their emotional resilience and coping skills. This approach fosters trust and comfort, helping Brian navigate his emotions in a healthy way.
Question 2 of 5
Which is descriptive of attention deficit hyperactivity disorder (ADHD)?
Correct Answer: B
Rationale: Option B is descriptive of attention deficit hyperactivity disorder (ADHD). Manifestations of ADHD can significantly impact the child's life, but are most noticeable in the classroom setting. Children with ADHD may struggle with paying attention, staying organized, controlling impulsive behavior, and following instructions in the school environment. While symptoms can also affect other areas of life, such as social interactions and familial relationships, they are typically most prominently displayed in the structured school setting, making it easier to recognize and diagnose the disorder.
Question 3 of 5
The nurse is conducting a staff in-service on renal ultrasounds. Which statement describes this diagnostic test?
Correct Answer: B
Rationale: Renal ultrasound is a non-invasive imaging technique that uses high-frequency sound waves to produce images of the kidneys and surrounding structures. Unlike computed tomography (CT) scans (Choice A) or intravenous pyelograms (Choice C) which may involve exposure to radiation or contrast medium, renal ultrasounds do not expose the patient to radiation or radioactive isotopes, making it a safe option for imaging the renal system. Ultrasounds are commonly used to assess kidney size, detect kidney stones, evaluate blood flow to the kidneys, and diagnose various renal conditions, such as hydronephrosis or renal cysts.
Question 4 of 5
The nurse is conducting an admission assessment on a school-age child with acute renal failure. Which are the primary clinical manifestations the nurse expects to find with this condition?
Correct Answer: A
Rationale: Acute renal failure is characterized by a sudden decrease in kidney function, resulting in the reduced ability to excrete waste products and maintain fluid balance. The primary clinical manifestations typically seen in acute renal failure include oliguria (low urine output) due to decreased kidney function, and hypertension (high blood pressure) as the body retains excess fluid and waste products. These symptoms indicate impaired kidney function and the need for immediate medical intervention to prevent further complications. Hematuria, proteinuria, muscle cramps, bacteriuria, and facial edema are not typically primary clinical manifestations of acute renal failure.
Question 5 of 5
The nurse is assessing a child after a cardiac catheterization. Which complication should the nurse be assessing for?
Correct Answer: A
Rationale: After a cardiac catheterization, the nurse should be assessing for the development of cardiac arrhythmias, as this is a potential complication associated with the procedure. Cardiac arrhythmias can occur due to irritation of the heart during the catheterization, changes in electrolyte levels, or other factors related to the procedure. Monitoring the child's cardiac rhythm closely allows for early detection and management of arrhythmias to prevent serious complications. While other complications such as hypostatic pneumonia, heart failure, and rapidly increasing blood pressure can also occur, cardiac arrhythmia is the most important complication to assess for immediately post-cardiac catheterization.