ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 5
Sexual abuse should be considered in children who have behavioral problems, although no behavior is pathognomonic. Which of the following behavior should raise the suspicion of sexual abuse?
Correct Answer: D
Rationale: Hypersexuality in children is highly unusual and strongly indicative of possible sexual abuse, as it reflects exposure to inappropriate sexual content or experiences.
Question 2 of 5
A patient who is being tested for HIV asks what tests are used. The nurse would correct in stating that the tests used to confirm HIV infection are which of the following?
Correct Answer: B
Rationale: ELISA (Enzyme-Linked Immunosorbent Assay) and Western Blot are the two main tests used to confirm HIV infection. ELISA is typically the first test performed to detect HIV antibodies in the blood. If the ELISA test is positive, the Western Blot test is then used to confirm the presence of HIV antibodies and differentiate between HIV-1 and HIV-2 antibodies. Both tests are highly sensitive and specific in diagnosing HIV infection. Other tests like CD4+ count and viral load are used to monitor disease progression but are not used primarily to confirm HIV infection.
Question 3 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 4 of 5
The child refusing to go to bed and remaining active is likely due to
Correct Answer: D
Rationale: Limit-setting insomnia involves resistance to bedtime routines.
Question 5 of 5
The nurse is teaching parents about signs of digoxin (Lanoxin) toxicity. Which is a common sign of digoxin toxicity?
Correct Answer: D
Rationale: Tachycardia, which is an abnormally fast heart rate, is a common sign of digoxin toxicity. Digoxin has a narrow therapeutic index, meaning there is a narrow range between a therapeutic dose and a toxic dose. Symptoms of digoxin toxicity can manifest in the cardiovascular system, such as tachycardia, as well as in other systems of the body. Tachycardia is often seen in cases of digoxin toxicity due to its effects on the heart's electrical conduction system. Other common signs of digoxin toxicity include nausea, vomiting, blurred vision, confusion, and arrhythmias. It is crucial for healthcare providers to monitor patients receiving digoxin closely and educate them about the signs and symptoms of toxicity to prevent adverse outcomes.