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
Why should the nurse monitor angiotensin converting enzyme inhibitors cautiously in clients with renal or hepatic impairment and in older adults?
Correct Answer: B
Rationale: Angiotensin converting enzyme (ACE) inhibitors are commonly used to manage hypertension and heart failure by blocking the conversion of angiotensin I to angiotensin II. In clients with renal or hepatic impairment, as well as in older adults, the metabolism and excretion of ACE inhibitors may be altered, leading to an increased risk of drug accumulation and potential hypotension. Monitoring these clients cautiously for a sudden drop in blood pressure, especially during the first 1-3 hours after the initial dose, is crucial to prevent complications such as dizziness, lightheadedness, and falls. Adjustments in dosage or frequency may be necessary to ensure the safe and effective use of ACE inhibitors in these populations.
Question 3 of 5
More than 90% of patients with atopic dermatitis have colonization of lesional skin with Staphylococcus aureus, and uninvolved skin has colonization of more than
Correct Answer: D
Rationale: Uninvolved skin in atopic dermatitis patients often has over 50% colonization with S. aureus.
Question 4 of 5
Which of the following is a common extra-articular manifestation of rheumatoid arthritis?
Correct Answer: D
Rationale: Rheumatoid arthritis can cause interstitial lung disease, cardiovascular complications, and neuropathy, making 'All of the above' the correct answer.
Question 5 of 5
Early sign of shock is:
Correct Answer: D
Rationale: Tachycardia is an early compensatory response to shock to maintain cardiac output.