ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
Rodolfo, an 85 year old, is admitted for comtinuous cramping pain as the result of intermittent claudication. When conducting an initial physical assessment, the nurse is unable to palpate the pedal pulses. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: In this scenario, the nurse's first action should be to obtain a Doppler ultrasound device to assess the pedal pulses. If the nurse was unable to palpate the pedal pulses initially, the use of a Doppler can help in accurately identifying the pulses. It is essential to confirm the absence or presence of peripheral pulses before taking any further actions. This will provide crucial information for the physician to determine the appropriate course of treatment. Conducting a Doppler assessment will assist in evaluating the severity of the situation and guide the next steps in the patient's care plan.
Question 2 of 5
Baby Jonathan was born with cleft lip (CL); Nurse Barbara would be alert that which of the following will most likely be compromised?
Correct Answer: C
Rationale: A cleft lip (CL) can significantly impact a baby's ability to create a proper seal while sucking. Sucking ability is crucial for a newborn's feeding process, as it is necessary for obtaining nutrition from breast milk or formula. A compromised sucking ability can lead to difficulties in feeding, inadequate intake of nutrients, and poor weight gain. Therefore, Nurse Barbara should be particularly alert to the potential challenges that baby Jonathan may face in establishing a sufficient sucking mechanism.
Question 3 of 5
Clinical examination of a child with large unilateral pneumothorax can show:
Correct Answer: A
Rationale: A large pneumothorax decreases breath sounds due to collapsed lung tissue.
Question 4 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 5 of 5
Which histological feature differentiates Crohn's disease from ulcerative colitis?
Correct Answer: B
Rationale: Granulomas are characteristic of Crohn's disease but not ulcerative colitis, making them a key diagnostic feature.