ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
One of the following causes normal anion gap metabolic acidosis:
Correct Answer: B
Rationale: Renal tubular acidosis leads to normal anion gap metabolic acidosis due to impaired bicarbonate handling.
Question 2 of 5
Clients who will go through operations and who have undergone surgery need the proper observation, treatment and care. Implementing the nursing process to these patients will help reduce complications. Nurse Maria checks on Mr. Alberto who had abdominal surgery, and finds that the edges of the incision have separated. Also, a small portion of the bowel is sticking out through the incision. Nurse Maria would:
Correct Answer: A
Rationale: Nurse Maria should immediately cover the wound with a moist sterile dressing to protect the exposed tissue and prevent infection. This action will help maintain the moisture needed for wound healing and reduce the risk of further complications. It is important to cover the exposed area to prevent any external contaminants from entering the wound, while also keeping the area moist to promote healing. It is crucial to seek medical attention promptly to address the situation and ensure proper care for the patient.
Question 3 of 5
Interpret the following ABG results (pH: 7.48 - PaCO2: 42 - HCO3:30):
Correct Answer: D
Rationale: These results indicate metabolic alkalosis with an elevated bicarbonate and normal CO2, showing no respiratory compensation.
Question 4 of 5
Why should the nurse monitor angiotensin converting enzyme inhibitors cautiously in clients with renal or hepatic impairment and in older adults?
Correct Answer: B
Rationale: Angiotensin converting enzyme (ACE) inhibitors are commonly used to manage hypertension and heart failure by blocking the conversion of angiotensin I to angiotensin II. In clients with renal or hepatic impairment, as well as in older adults, the metabolism and excretion of ACE inhibitors may be altered, leading to an increased risk of drug accumulation and potential hypotension. Monitoring these clients cautiously for a sudden drop in blood pressure, especially during the first 1-3 hours after the initial dose, is crucial to prevent complications such as dizziness, lightheadedness, and falls. Adjustments in dosage or frequency may be necessary to ensure the safe and effective use of ACE inhibitors in these populations.
Question 5 of 5
Which manifestations are expected in the early stages of acute hepatitis?
Correct Answer: A
Rationale: The early (anicteric) phase of hepatitis is characterized by nonspecific symptoms such as nausea, vomiting, and malaise.