ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
Nurse Katriz is planning a client education program for sickle cell disease (SCD); what topics should be included in the plan of care?
Correct Answer: D
Rationale: People with sickle cell disease (SCD) are at a higher risk of infections due to their impaired immune system. Infections can trigger a sickle cell crisis, which can be life-threatening. Therefore, proper hand washing and infection avoidance are crucial components of the care plan for clients with SCD. This topic should be included in Nurse Katriz's client education program to help reduce the risk of infections and promote better health outcomes for individuals with SCD.
Question 2 of 5
A client on hemodialysis is complaining of muscle weakness and numbness in his legs. His lab results are: Na 136 mEq/L, K 5.9 mEq/L, Cl 100 mEq/L, ca 8.5 mg/dl. Which electrolyte imbalance is the client suffering from?
Correct Answer: A
Rationale: The client is experiencing muscle weakness and numbness in his legs, which are symptoms commonly associated with hyperkalemia (high potassium levels). The potassium level of 5.9 mEq/L is above the normal range (3.5-5.0 mEq/L), indicating hyperkalemia. Hyperkalemia can lead to muscle weakness, numbness, and potentially more severe complications like cardiac arrhythmias.
Question 3 of 5
The nurse notices that a 10-month-old infant being seen in the clinic is wearing expensive, inflexible, high-top shoes. The nurse should explain that:
Correct Answer: A
Rationale: Soft and flexible shoes are generally better for infants who are learning to walk. Infants have soft and pliable bones in their feet that are still developing, so it is important for them to wear shoes that allow natural movement and flexibility. High-top shoes and inflexible shoes may restrict the natural movement of the foot and can hinder the infant's ability to develop balance and coordination while learning to walk. It is important for infants to wear shoes that are comfortable, lightweight, and provide some protection without restricting their foot movements.
Question 4 of 5
The nurse observes flaring of nares in a newborn. This should be interpreted as:
Correct Answer: B
Rationale: Flaring of nares in a newborn is typically interpreted as a sign of respiratory distress. When a baby is having trouble breathing or is not getting enough oxygen, the body compensates by increasing the size of the nasal passages to allow for easier airflow. This response helps the baby to breathe more effectively during times of respiratory distress. It is important for healthcare providers to recognize this sign as it may indicate the need for prompt intervention and support to help the baby breathe more comfortably.
Question 5 of 5
is type of hydrocephalus which there no obstructive to pass CSF but malformation of arachnoid villi :
Correct Answer: B
Rationale: Communicating hydrocephalus is a type of hydrocephalus where there is no obstruction to the passage of cerebrospinal fluid (CSF), but rather a malfunction or malformation of the arachnoid villi, which are responsible for the reabsorption of CSF. In communicating hydrocephalus, the flow of CSF within the ventricular system is disrupted, leading to an accumulation of fluid and resulting in increased intracranial pressure.