ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 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 2 of 5
What is the best description of anorexia nervosa?
Correct Answer: D
Rationale: Anorexia nervosa is a serious eating disorder characterized by a persistent restriction of food intake, leading to significantly low body weight. Individuals with anorexia have an intense fear of gaining weight or becoming fat, despite being underweight. The disorder results in severe weight loss due to excessive dieting, exercising, or other behaviors to control weight. It is not caused by a posterior pituitary disorder, nor is it limited to a specific gender or socioeconomic group.
Question 3 of 5
One of the following can cause unilateral dilated fixed pupil:
Correct Answer: D
Rationale: Tentorial herniation leads to compression of cranial nerve III, causing a fixed, dilated pupil on the affected side due to unopposed sympathetic activity.
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
A four-year-old patient has been diagnosed with leukemia. The patient's parents follow the Jehovah's Witness faith and inform the physician that they will not approve any type of blood transfusions. The pediatric nurse is aware that:
Correct Answer: C
Rationale: Jehovah's Witnesses generally refuse blood transfusions, but volume expanders may be acceptable alternatives in certain situations.