ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
Serum albumin Is to be administered intravenously to client with ascites, The expected outcome of this treatment will be a decrease in:
Correct Answer: C
Rationale: Serum albumin is a protein that helps maintain oncotic pressure in the blood vessels and prevents fluid from leaking out into the surrounding tissues. In clients with ascites, which is the accumulation of fluid in the abdominal cavity due to liver disease, administration of serum albumin can help shift the fluid from the abdominal cavity back into the blood vessels. As a result, the expected outcome of this treatment would be a decrease in abdominal girth as the fluid is reabsorbed and redistributed. Administering serum albumin would not directly affect urinary output, serum ammonia levels, or hepatic encephalopathy.
Question 2 of 5
In which of the ff circumstances should a nurse avoid using midline and mid clavicular sites for IV therapy? Choose all that apply.
Correct Answer: a
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A 17-year-old student enters the emergency department with a nosebleed that won't quit. Which of the following positions is recommended for the patient with a nosebleed?
Correct Answer: D
Rationale: The recommended position for a patient with a nosebleed is sitting up and leaning slightly forward. This position helps prevent blood from flowing down the back of the throat, which can cause gagging, choking, or vomiting. Leaning forward also helps to prevent blood from accumulating in the sinuses, reducing the risk of aspiration. Additionally, this position allows easy access to apply pressure to the nostrils to help stop the bleeding. It is essential to avoid lying down or tilting the head back, as this can lead to swallowing blood and potentially cause further complications.
Question 4 of 5
Which of the following risk factors presents the greatest threat for respiratory disease?
Correct Answer: A
Rationale: Smoking presents the greatest threat for respiratory disease among the given options. Cigarette smoke contains harmful chemicals that can damage the lungs and airways, leading to conditions such as chronic obstructive pulmonary disease (COPD), lung cancer, and other respiratory disorders. Smoking is a well-known and established risk factor for a wide range of respiratory diseases and is considered one of the leading causes of preventable death worldwide. Therefore, quitting smoking and avoiding exposure to secondhand smoke is crucial for maintaining respiratory health.
Question 5 of 5
A patient develops a postoperative deep vein thrombosis and is started on IV heparin. Which of the ff. laboratory tests is monitored during the heparin therapy?
Correct Answer: C
Rationale: During heparin therapy, the laboratory test that is monitored is the partial thromboplastin time (PTT). Heparin acts by potentiating the activity of antithrombin III, leading to the inhibition of both thrombin and factor Xa. The PTT measures the intrinsic pathway of coagulation and is prolonged with heparin due to its anticoagulant effect. Monitoring the PTT helps to ensure that the patient is within the therapeutic range of anticoagulation to prevent clot formation without increasing the risk of bleeding complications. Plasma fibrinogen, prothrombin time (PT), and international normalized ratio (INR) are not routinely monitored during heparin therapy.