ATI RN
ATI Pediatrics Test Bank Questions
Question 1 of 5
Nurse Beverly is giving preoperative instructions to Ian who is scheduled for an Ileostomy. Which of the following would be included?
Correct Answer: A
Rationale: An ileostomy is a surgical procedure that involves creating a stoma from the ileum (part of the small intestine) to the abdominal wall, allowing waste to bypass the colon and exit the body through the stoma into a pouch worn on the outside of the body. Therefore, it is important for Nurse Beverly to inform Ian that his stool output will be collected in a pouch following the surgery. Option A is the correct choice as it directly relates to the postoperative care and management specific to an ileostomy procedure.
Question 2 of 5
. A client is diagnosed with the syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should anticipate which laboratory test result?
Correct Answer: A
Rationale: A client with the syndrome of inappropriate antidiuretic hormone (SIADH) retains water excessively due to overproduction of antidiuretic hormone (ADH). This leads to dilutional hyponatremia, resulting in decreased serum sodium levels. Hyponatremia is a hallmark laboratory finding in patients with SIADH. Other laboratory values you might see in SIADH include decreased serum osmolality, concentrated urine with a high sodium concentration, and normal renal function tests such as BUN and creatinine. Therefore, the most anticipated laboratory test result in a client with SIADH is a decreased serum sodium level.
Question 3 of 5
A client with type 1 diabetes mellitus asks the nurse about taking an oral antidiabetic agent. The nurse explains that these medications are only effective if the client:
Correct Answer: C
Rationale: Oral antidiabetic agents are medications designed specifically for the management of type 2 diabetes mellitus. They work by improving insulin sensitivity, increasing insulin production, or reducing glucose production in the liver. Type 1 diabetes mellitus is characterized by an absolute deficiency of insulin production, requiring lifelong insulin therapy. Therefore, oral antidiabetic agents are not effective for individuals with type 1 diabetes like the client in this scenario.
Question 4 of 5
A client with Hashimoto's thyroiditis and a history of two myocardial infarctions and coronary artery disease is to receive levothyroxine (Synthroid). Because of the client's cardiac history, the nurse would expect that the client's initial dose for the thyroid replacement would be which of the following?
Correct Answer: A
Rationale: In a client with a history of two myocardial infarctions and coronary artery disease, initiating levothyroxine therapy with a low starting dose of 25 mcg/day is recommended. Thyroid hormone replacement therapy can potentially worsen underlying cardiac conditions, so a cautious approach is necessary. The dose may be gradually titrated upwards based on thyroid function tests and the client's response. Delaying treatment until after thyroid surgery (option B) is not necessary in this scenario if the client requires thyroid hormone replacement. Initiating levothyroxine before thyroid surgery (option D) is not relevant to the given clinical situation. Starting with a higher dose of 100 mcg/day (option C) may pose a higher risk of cardiac complications in this client with a cardiac history.
Question 5 of 5
Bell's palsy is a ___ cranial nerve disorder characterized by weakness or paralysis of the facial muscles.
Correct Answer: B
Rationale: Bell's palsy is a cranial nerve disorder characterized by weakness or paralysis of the facial muscles due to inflammation, compression, or damage to the seventh cranial nerve - the facial nerve. The facial nerve controls the muscles responsible for facial expressions and functions like smiling, closing the eyes, and raising the eyebrows. Symptoms of Bell's palsy can include drooping of one side of the face, difficulty in closing one eye, drooling, impaired taste, and difficulty in smiling.