ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 5
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 2 of 5
To prevent plagiocephaly, the nurse should teach parents to:
Correct Answer: A
Rationale: Placing the infant prone (on their stomach) for 30 to 60 minutes per day while they are awake is an effective way to prevent plagiocephaly, which is the flattening of the back or side of an infant's head. This practice helps to alleviate pressure on one particular area of the skull and promotes balanced head growth. It is important for parents to follow safe sleep guidelines and avoid having infants sleep on their stomachs, as this position is associated with an increased risk of sudden infant death syndrome (SIDS). Therefore, the recommended practice of placing the infant prone for short periods during supervised awake time helps prevent plagiocephaly without compromising the infant's safety during sleep.
Question 3 of 5
Which is the most common cause of anemia in preterm newborns?
Correct Answer: A
Rationale: The most common cause of anemia in preterm newborns is frequent blood sampling. Preterm infants are often subject to numerous blood tests for various reasons such as monitoring oxygen and blood gas levels, assessing bilirubin levels, infection screening, and more. These repeated blood withdrawals lead to a loss of red blood cells and can contribute to the development of anemia in preterm infants. Anemia in preterm newborns can have significant consequences, including impaired growth and development, delayed hospital discharge, and the potential need for blood transfusions. Therefore, minimizing unnecessary blood sampling and utilizing non-invasive monitoring methods whenever possible are key strategies in preventing and managing anemia in preterm newborns.
Question 4 of 5
Which of the following blood types would the nurse identify as the rarest?
Correct Answer: B
Rationale: Blood type AB is the rarest of all the blood types. This is because individuals with AB blood type have both A and B antigens on their red blood cells, making it less common than other blood types. In the ABO blood group system, the distribution of blood types in the general population is approximately 45% type O, 40% type A, 11% type B, and only about 4% type AB. Therefore, blood type AB would be identified as the rarest in the given options.
Question 5 of 5
A 48-year-old patient has been prescribed trihexyphenidyl for her Parkinson's disease. Which adverse reaction to this drug can be close-related?
Correct Answer: C
Rationale: Trihexyphenidyl is an anticholinergic medication commonly used to treat symptoms of Parkinson's disease. Anticholinergic drugs work by blocking the action of acetylcholine, a neurotransmitter in the nervous system. One common side effect of anticholinergic medications like trihexyphenidyl is dryness of the mouth (xerostomia). This occurs because the drug interferes with the normal functioning of the salivary glands, leading to reduced saliva production. Excessive salivation (choice A) is unlikely due to the drying effect of the medication. Bradycardia (choice B) is not typically associated with trihexyphenidyl use. Constipation (choice D) is another common adverse effect of anticholinergic medications, but dryness of the mouth is more closely related in this scenario.