ATI RN
Introduction to Maternity and Pediatric Nursing Test Bank Questions
Question 1 of 5
In which of the ff clients will an MRI scan be contraindicated?
Correct Answer: B
Rationale: An MRI scan uses strong magnetic fields and radio waves to create detailed images of the body's internal structures. Clients with metal implants in their body, such as pacemakers, artificial joints, or other metallic objects, may experience potential risks and complications during an MRI scan. The strong magnetic field can interact with the metal in the body, causing movement, heating, or potential damage to the surrounding tissues. Hence, it is contraindicated to perform an MRI scan on clients with metal implants to avoid harm and ensure their safety.
Question 2 of 5
The nurse is caring for a client in the emergency room diagnosed with Bell's palsy. The client has been taking acetaminophen (Tylenol), and acetaminophen overdose is suspected. The nurse anticipates that the antidote to be prescribed is:
Correct Answer: D
Rationale: Acetylcysteine (Mucomyst) is the antidote for acetaminophen (Tylenol) overdose. If an overdose of acetaminincophen is suspected, acetylcysteine should be administered within 8-10 hours of ingestion to prevent liver damage and failure. Pentostatin, Fludarabine, and Auranofin are not antidotes for acetaminophen overdose and are used for other medical conditions.
Question 3 of 5
During an ophthalmic assessment, which of the ff are the nurses expected to observe carefully? Choose all that apply
Correct Answer: B
Rationale: In an ophthalmic assessment during maternity and pediatric nursing, observing pupil responses is crucial for several reasons. Pupil responses can provide valuable information about the integrity of the cranial nerves, brainstem function, and potential neurological issues. Changes in pupil size, shape, or reactivity can indicate serious conditions like increased intracranial pressure or cranial nerve damage, which are especially important to monitor in pediatric and maternity patients. The other options are important aspects of an ophthalmic assessment but are not as critical as pupil responses in this context. While the level of central vision (option A) is important for overall eye function, it may not provide immediate insights into urgent neurological issues. External eye appearance (option C) and eye movements (option D) are also important for assessing eye health and function but may not be as directly linked to neurological status as pupil responses. Educationally, understanding the significance of pupil responses in an ophthalmic assessment reinforces the connection between ocular health and neurological function. It highlights the importance of thorough assessments in pediatric and maternity patients to detect any subtle changes that may require prompt intervention. By prioritizing pupil responses, nurses can ensure comprehensive care and early detection of potential complications.
Question 4 of 5
The nurse understands that labyrinthitis is treated primarily with which of the ff. drug categories?
Correct Answer: A
Rationale: Labyrinthitis is an inner ear disorder that is often caused by a viral infection. Antihistamines are commonly used in the treatment of labyrinthitis to help reduce symptoms such as dizziness, nausea, and vomiting. Antihistamines work by blocking the effects of histamine, which is a chemical in the body that can cause these symptoms. Additionally, antihistamines can help alleviate any associated allergies or inflammation in the inner ear that may be contributing to the condition. Other treatment options for labyrinthitis may include vestibular rehabilitation exercises, antiemetics for nausea and vomiting, and medications to manage dizziness.
Question 5 of 5
When instructing the client diagnosed with hyperparathyroidism about diet, the nurse should stress the importance of which of the following?
Correct Answer: C
Rationale: For clients diagnosed with hyperparathyroidism, it is important to restrict sodium in the diet. High sodium intake can worsen calcium loss from the bones and increase the risk of kidney stones, both of which are concerns for individuals with hyperparathyroidism. Therefore, it is crucial to advise the client to limit their sodium intake to help manage their condition effectively.