ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
The least common late neurologic sequelae that may be encountered post craniospinal irradiation in a 9-year-old child with medulloblastoma is
Correct Answer: D
Rationale: Second malignancy is a rare late effect compared to cognitive and learning impairments.
Question 2 of 5
The pediatric nurse advises a parent how to best convey the circumstances surrounding the sudden death of an 18-month-old patient to a four-year-old sibling. The nurse anticipates that the sibling:
Correct Answer: A
Rationale: Young children often struggle with understanding death and may internalize feelings of guilt, believing they had a role in the event.
Question 3 of 5
A client with neuromuscular disorder is receiving intensive nursing care. The client is likely to face the risk for impaired skin integrity. Which of the ff must the nurse ensure to prevent skin breakdown in the client?
Correct Answer: B
Rationale: Using pressure relieving devices when the client is in bed is essential to prevent skin breakdown. Clients with neuromuscular disorders are at higher risk for impaired skin integrity due to limited mobility and sensation. Pressure relieving devices such as specialized mattresses, cushions, or pads help distribute pressure evenly and reduce the risk of pressure ulcers. Maintaining good skin integrity is crucial in preventing complications and promoting the overall well-being of the client. It is important for the nurse to assess the client's risk factors, implement preventive measures like using pressure relieving devices, and monitor the client's skin regularly to prevent skin breakdown.
Question 4 of 5
. A client is admitted to the health care facility for evaluation for Addison's disease. Which laboratory test result best supports a diagnosis of Addison's disease?
Correct Answer: C
Rationale: Addison's disease, also known as adrenocortical insufficiency, is characterized by a deficiency in adrenal cortex hormones, particularly glucocorticoids and mineralocorticoids. One of the characteristic findings in Addison's disease is hyperkalemia, which is an elevated serum potassium level. This is due to the lack of aldosterone production by the adrenal glands, leading to decreased potassium excretion by the kidneys. Therefore, a serum potassium level of 5.8 mEq/L would best support a diagnosis of Addison's disease among the given laboratory test results.
Question 5 of 5
Clinical manifestations of Huntington's disease include:
Correct Answer: D
Rationale: Huntington's disease is a progressive neurological disorder that affects movement, cognition, and behavior. The three main clinical manifestations of Huntington's disease are abnormal involuntary movements (chorea), intellectual decline, and emotional disturbances. Chorea is characterized by involuntary jerky movements that are often random and unpredictable. Intellectual decline includes difficulties with cognitive functions such as planning, organizing, and remembering. Emotional disturbances may manifest as irritability, depression, anxiety, or mood swings. Overall, individuals with Huntington's disease experience a wide range of symptoms that impact both their physical and mental well-being.