ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
In giving health instructions, the nurse should infrom the client about the risk fsctors associated with coronary artery disease. Which of the following controllable risk factors is closely linked to the development of MI?
Correct Answer: B
Rationale: High cholesterol levels are closely linked to the development of myocardial infarction (MI), also known as a heart attack. Elevated levels of cholesterol in the blood can lead to the buildup of plaque in the coronary arteries, causing atherosclerosis. This buildup can restrict blood flow to the heart muscle, potentially resulting in a heart attack. Managing and controlling cholesterol levels through lifestyle changes and medications can help reduce the risk of MI.
Question 2 of 5
Rodolfo, an 85 year old, is admitted for comtinuous cramping pain as the result of intermittent claudication. When conducting an initial physical assessment, the nurse is unable to palpate the pedal pulses. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: In this scenario, the nurse's first action should be to obtain a Doppler ultrasound device to assess the pedal pulses. If the nurse was unable to palpate the pedal pulses initially, the use of a Doppler can help in accurately identifying the pulses. It is essential to confirm the absence or presence of peripheral pulses before taking any further actions. This will provide crucial information for the physician to determine the appropriate course of treatment. Conducting a Doppler assessment will assist in evaluating the severity of the situation and guide the next steps in the patient's care plan.
Question 3 of 5
The nurse is caring for a client with type I diabetes mellitus who exhibits confusion, light-headedness, and aberrant behavior. The client is still conscious. The nurse should first administer:
Correct Answer: A
Rationale: In this scenario where the client with type I diabetes mellitus is exhibiting confusion, light-headedness, and aberrant behavior, indicating hypoglycemia, the first-line treatment would be administering I.M. or subcutaneous glucagon. Glucagon helps to rapidly increase blood sugar levels by stimulating the liver to release stored glucose. This is crucial in situations where the client is conscious but unable to take oral carbohydrates, such as in cases of severe hypoglycemia with altered mental status. Administration of glucagon helps to quickly raise blood sugar levels and prevent further deterioration in the client's condition. Options B, C, and D are not the initial interventions in this situation and may not be as effective in rapidly correcting hypoglycemia in a client who is exhibiting signs of confusion and aberrant behavior.
Question 4 of 5
A diabetic client develops sinusitis and otitis media accompanied by a fever of 100.8â—‹0 F (38.2â—‹0 C). What effect may this have on his need for insulin?
Correct Answer: D
Rationale: When a diabetic client develops an infection, such as sinusitis and otitis media with a fever, the stress response can increase blood glucose levels. Infections trigger the release of stress hormones like cortisol and adrenaline, which can lead to insulin resistance. Insulin requirements may increase during an infection due to the elevated blood glucose levels and the body's increased demand for energy to fight the infection. Therefore, the diabetic client with sinusitis and otitis media accompanied by a fever of 100.8°F (38.2°C) will likely require an increase in their insulin dosage to help control their blood glucose levels during this period.
Question 5 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.