ATI RN
Certified Pediatric Nurse Exam Practice Questions Questions
Question 1 of 5
Mrs. Santos, a 75-year old patient with type II diabetes is in emergency department with signs of hyperglycemic, hyperosmolar nonketotic (HHNK) coma. What assessment finding should the nurse expect?
Correct Answer: C
Rationale: In a patient with hyperglycemic, hyperosmolar nonketotic coma (HHNK), the high blood glucose levels lead to osmotic diuresis, causing excessive urination and subsequent dehydration. Dehydration can manifest as symptoms such as dry mucous membranes, poor skin turgor, decreased urine output, increased heart rate, and low blood pressure. Therefore, the nurse should expect to find signs of severe dehydration in a patient with HHNK coma. The other options listed are not typical assessment findings associated with HHNK coma.
Question 2 of 5
Which of the following responses indicates sympathetic nervous system function?
Correct Answer: A
Rationale: The sympathetic nervous system is responsible for the body's "fight or flight" response. Tachycardia (increased heart rate) and dilated pupils are classic responses of the sympathetic nervous system activation during times of stress or danger. These physiological responses prepare the body for action, such as running away from a threat.
Question 3 of 5
while planning therapeutic care for type ï‰ diabetes mellitus you would expect treatment plan to include:
Correct Answer: D
Rationale: Type 1 diabetes mellitus is characterized by the body's inability to produce insulin. Therefore, the mainstay of treatment for type 1 diabetes is insulin therapy. Insulin injections are necessary to replace the insulin that the body is unable to produce on its own. While physical exercise and dietary management are important components of managing diabetes, in the case of type 1 diabetes, insulin is an essential part of the treatment plan to control blood glucose levels effectively and prevent complications. Oral hypoglycemic agents, on the other hand, are typically used in the treatment of type 2 diabetes, where the body's insulin production may be insufficient or ineffective.
Question 4 of 5
The staff nurse in a regional hospital is aware that a dose of parenteral ampicillin must be administered within how many hours after it has been mixed?
Correct Answer: B
Rationale: The correct administration time frame for a dose of parenteral ampicillin after it has been mixed is within 4 hours. This is based on the stability and compatibility of ampicillin when it is mixed and prepared for injection. Beyond 4 hours, the effectiveness and safety of the medication may be compromised due to potential degradation or contamination. It is crucial for healthcare providers to adhere to the recommended administration time frame to ensure the patient receives the full therapeutic benefits of the medication and to prevent any negative outcomes associated with the degradation of the drug.
Question 5 of 5
The physical abuse of children by parents affects children of all ages. It is estimated that 1% to 2% of children are physically abused during childhood and that significant number of them are fatally injured each year. Of the following, the second LEADING cause of mortality from physical abuse is
Correct Answer: B
Rationale: Head trauma is a leading cause of mortality in abused children, as it can result in severe brain damage or death.