ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 9
Kasabach-Merritt syndrome is characterized by all the following EXCEPT
Correct Answer: D
Rationale: Kasabach-Merritt syndrome is not typically associated with hemangiomas.
Question 2 of 9
Nursing care for a patient who is experiencing a convulsive seizure includes all of the following except:
Correct Answer: B
Rationale: Opening the patient's jaw and inserting a mouth gag is not part of the appropriate nursing care for a patient experiencing a convulsive seizure. Doing so can potentially harm the patient by causing injury to the teeth, jaw, or airway. It is important to protect the patient's airway during a seizure, but this can be done by positioning the patient on their side with the head flexed forward, ensuring a clear airway without the need for a mouth gag.
Question 3 of 9
Which of the ff. nursing actions prepares a patient for a lumbar puncture?
Correct Answer: B
Rationale: Positioning the patient on their side is a critical nursing action that prepares a patient for a lumbar puncture. This position is usually used during the procedure to allow easier access to the lumbar region. Placing the patient on their side helps provide better visualization of the spinal landmarks and facilitates the correct positioning of the needle for the lumbar puncture. This position also helps minimize the risk of complications and ensures the safety and comfort of the patient during the procedure. Administering enemas until clear, removing all metal jewelry, and removing the patient's dentures are not specifically associated with preparing a patient for a lumbar puncture.
Question 4 of 9
The nurse is taking care of a child with scabies. Which primary clinical manifestation should the nurse expect to assess with this disease?
Correct Answer: C
Rationale: Scabies is a contagious skin infestation caused by the itch mite Sarcoptes scabiei. The primary clinical manifestation of scabies is intense itching, known as pruritus. The itching is often worse at night and can be severe, leading to scratching that can cause skin lesions. Edema (choice A) refers to swelling due to fluid retention and is not a primary clinical manifestation of scabies. Redness (choice B) may be present due to inflammation caused by the mites but is not the primary symptom. Maceration (choice D) is softening and breakdown of the skin due to prolonged moisture exposure and is not a typical presentation of scabies.
Question 5 of 9
The baby with newly diagnosed diabetes is displaying shakiness, confusion, irritability, and slurred speech. What should the nurse suspect is happening?
Correct Answer: B
Rationale: The baby's symptoms of shakiness, confusion, irritability, and slurred speech are indicative of hypoglycemia, which is low blood sugar. In a baby with newly diagnosed diabetes, the administration of insulin or oral hypoglycemic agents may have led to excessive lowering of blood glucose levels, causing these symptoms to manifest. It is crucial to address hypoglycemia promptly by administering a rapid-acting carbohydrate source such as glucose gel or juice to raise blood sugar levels back to normal range. Left untreated, severe hypoglycemia can lead to seizures, loss of consciousness, and potential long-term neurological damage. It is important for healthcare providers and caregivers to be vigilant in monitoring blood glucose levels in babies newly diagnosed with diabetes to prevent episodes of hypoglycemia.
Question 6 of 9
Autism screening is recommended for all children at age of
Correct Answer: B
Rationale: Autism screening is recommended between 18 and 24 months.
Question 7 of 9
A mother asks the nurse what would be the first indication that acute glomerulonephritis is improving. What is the nurse's best response?
Correct Answer: D
Rationale: In acute glomerulonephritis, the kidneys are inflamed and not functioning properly, leading to a decrease in urinary output. As the condition improves, the kidneys are able to filter and excrete waste products more effectively, resulting in an increase in urinary output. This is the first indication that acute glomerulonephritis is improving because it shows that the kidneys are starting to function better. Blood pressure stabilization, increased energy, and absence of protein in the urine may also be positive signs of improvement, but an increase in urinary output is the most direct and specific indicator of improved kidney function in this context.
Question 8 of 9
Which of the ff is the effect of a decrease in the number of lymphocytes with age?
Correct Answer: A
Rationale: Lymphocytes are a type of white blood cell that plays a crucial role in the body's immune system by helping to fight off infections and diseases. A decrease in the number of lymphocytes with age means that the immune system may not function as effectively as it used to. This can lead to a decreased resistance to infections, making older individuals more susceptible to illnesses and diseases. Therefore, the effect of a decrease in the number of lymphocytes with age is a decreased resistance to infection.
Question 9 of 9
The community health nurse is teaching parents about prevention of the spread and reoccurrence of pediculosis (head lice). Which should the nurse include in the teaching session? (Select all that apply.)
Correct Answer: A
Rationale: Drycleaning nonwashable items is an effective way to kill any head lice or eggs that may be on the items.