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 nurse is observing a client receiving antiplatelet therapy for adverse reactions. Antiplatelet drugs most commonly produce which hypersensitivity reaction?
Correct Answer: C
Rationale: Antiplatelet drugs most commonly produce bronchospasm as a hypersensitivity reaction. This adverse reaction occurs due to the release of bronchoconstrictive mediators, leading to narrowing of the airways and potentially causing respiratory distress. It is important for nurses to closely monitor clients receiving antiplatelet therapy for signs of bronchospasm, such as wheezing, shortness of breath, and chest tightness, and to intervene promptly to prevent further complications. Difficulty hearing, confusion, and agranulocytosis are not typically associated with antiplatelet therapy.
Question 3 of 5
Which occurs in septic shock?
Correct Answer: C
Rationale: In septic shock, vasoconstriction is a common phenomenon. This occurs as part of the body's response to the infection, where blood vessels constrict in an attempt to maintain blood pressure and perfusion to vital organs. The vasoconstriction leads to increased systemic vascular resistance and contributes to the hypotension seen in septic shock. The body's natural response to infection also involves a release of inflammatory mediators, which can cause vasodilation in some areas while concurrent vasoconstriction occurs in others, resulting in uneven blood flow distribution and contributing to organ dysfunction. Therefore, vasoconstriction is a key factor in the pathophysiology of septic shock.
Question 4 of 5
The child who can hop on one foot, copies circles, and brushes teeth without help has achieved the developmental age of
Correct Answer: B
Rationale: These skills are typically developed by age 3.
Question 5 of 5
How should the nurse prepare a suspension before administration?
Correct Answer: C
Rationale: The correct way to prepare a suspension before administration is by shaking it so that all the drug particles are dispersed uniformly. Suspending agent particles settle over time, creating a layer of liquid at the top and a layer of solid at the bottom. By shaking the suspension, the nurse ensures that the drug particles are fully mixed and distributed evenly throughout the liquid. This step is crucial to ensure that the patient receives the correct dosage of the medication with each administration. Diluting the suspension with normal saline or dextrose solutions or crushing remaining particles with a mortar and pestle are not recommended methods for preparing a suspension before administration.