ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
In a 28-year-old female client who is being successfully treated for Cushing syndrome, the nurse would expect a decline in:
Correct Answer: D
Rationale: In a 28-year-old female client who is being successfully treated for Cushing syndrome, a decline in menstrual flow would be expected due to the normalization of the hormonal imbalances associated with Cushing syndrome. Cushing syndrome can lead to elevated levels of cortisol, which can disrupt the normal menstrual cycle by affecting the production of reproductive hormones. As treatment successfully addresses the underlying cause of the hormonal imbalance, such as surgery to remove the source of excessive cortisol production or medication to control cortisol levels, the menstrual cycle is likely to return to normal, resulting in a decline in menstrual flow. This improvement in menstrual regularity is a positive indicator of successful treatment for Cushing syndrome in female clients.
Question 2 of 5
Mr. Reyes has a possible skull fracture. The nurse should:
Correct Answer: A
Rationale: When a patient is suspected to have a possible skull fracture, the nurse should observe him for signs of brain injury. Signs of brain injury can include changes in level of consciousness, altered pupil size or reaction to light, slurred speech, weakness or numbness in extremities, seizures, severe headache, vomiting, and vision changes. Monitoring for these signs would help in early detection of any worsening condition or complications related to the skull fracture. It is crucial to assess and monitor the patient's neurological status closely to provide timely interventions and prevent further damage.
Question 3 of 5
Considering Mr. Franco's conditions, which of the following is most important to include in preparing Franco's bedside equipment?
Correct Answer: C
Rationale: Mr. Franco's conditions indicate a need for positioning aids and support to prevent pressure ulcers and maintain proper alignment. Sandbags can be used to provide support and stability for his lower extremities, while trochanter rolls can help maintain proper alignment of his hips and prevent external rotation of the legs. These aids are crucial in ensuring Mr. Franco's comfort, safety, and overall well-being during his stay in bed.
Question 4 of 5
An adult is receiving NSAID. Which of the following would the nurse include in the teaching about this medication?
Correct Answer: B
Rationale: Taking NSAIDs with meals or a snack can help reduce the risk of stomach irritation and ulcers that are commonly associated with these medications. Food can help protect the stomach lining from the irritating effects of NSAIDs. It is important for the adult to follow this instruction to minimize any potential gastrointestinal side effects. Taking NSAIDs with meals also helps with the absorption of the medication into the bloodstream, ensuring its effectiveness.
Question 5 of 5
An adult is brought in by ambulance after a motor vehicle accident. He is unconscious, on a backboard with his neck immobilized. He is bleeding profusely from a large gash on his right thigh. What is the first action the nurse should take?
Correct Answer: C
Rationale: The first action the nurse should take in this situation is to check the patient's airway. Ensuring a patent airway is a critical step as it is essential for breathing and oxygenation. In this case, the unconscious patient may be at risk of airway obstruction due to various factors such as blood, secretions, or swelling from the injury. By checking the airway first, the nurse can quickly identify and address any blockages or issues that may compromise the patient's ability to breathe effectively. Once the airway is secured, the nurse can then proceed to address the other needs of the patient, such as controlling bleeding and stabilizing other vital signs.