ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
The following are true EXCEPT
Correct Answer: D
Rationale: Lumbosacral agenesis is not one of the most common congenital anomalies in infants of diabetic mothers. Common anomalies include cardiac defects, neural tube defects, and others.
Question 2 of 5
Acidosis in renal failure is more likely to be associated with which of the following:
Correct Answer: D
Rationale: Acidosis in renal failure is associated with a wide anion gap due to the accumulation of unmeasured anions like sulfates and phosphates, which the kidneys fail to excrete effectively.
Question 3 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 4 of 5
A client who underwent litholapaxy surgery for removing bladder stones wants to know how long the urethral catheter needs to stay in place. Which of the ff is the correct response?
Correct Answer: B
Rationale: After a litholapaxy surgery for bladder stones, it is common for the urethral catheter to remain in place for 1-2 days. This timeframe allows for adequate drainage and healing of the bladder following the procedure. The healthcare team will monitor the patient's progress and determine the appropriate timing for catheter removal based on individual factors such as the size of the stones removed and the patient's overall condition. Early removal of the catheter may increase the risk of complications, while leaving it in place for too long may also lead to problems such as infection. Therefore, the recommended duration of 1-2 days strikes a balance between allowing for proper healing and minimizing potential issues related to catheterization.
Question 5 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.