ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 9
The most serious manifestation of lead intoxication is
Correct Answer: D
Rationale: Cerebral edema is the most serious manifestation of lead intoxication, as it can be life-threatening.
Question 2 of 9
Which of the ff vessels is often used for grafting?
Correct Answer: B
Rationale: The internal mammary and internal thoracic arteries in the chest are often used for grafting in procedures such as coronary artery bypass surgery. These arteries have been found to have good long-term patency rates when used as grafts to bypass blocked coronary arteries. The internal mammary artery, in particular, is commonly used for this purpose due to its accessibility and long-term durability. The use of these arteries for grafting helps to improve blood flow to the heart muscle, relieving symptoms of coronary artery disease and reducing the risk of heart-related complications.
Question 3 of 9
The nurse needs to obtain blood for ongoing assessment of a high-risk newborn's progress. Which tests should the nurse monitor? (Select all that apply.)
Correct Answer: A
Rationale: Blood glucose: Monitoring blood glucose levels is crucial in high-risk newborns to ensure they are within the normal range. High or low blood glucose levels can indicate various conditions that require prompt intervention.
Question 4 of 9
Regarding physical growth of middle childhood (6-11 years), all are true EXCEPT
Correct Answer: D
Rationale: Risk for obesity does not necessarily fall by 6 years.
Question 5 of 9
The nurse must assess a 10-month-old infant. The infant is sitting on the father's lap and appears to be afraid of the nurse and of what might happen next. Which initial action by the nurse would be most appropriate?
Correct Answer: D
Rationale: Talking softly to the infant while taking him from his father would be the most appropriate initial action by the nurse in this situation. This approach allows the nurse to maintain communication with the infant to provide comfort and minimize fear or anxiety. By using a gentle tone and reassuring words, the nurse can help establish a sense of safety for the infant as he is transitioned from his father's lap to the examination table. This gradual and supportive approach is likely to facilitate a smoother assessment process and help build trust with the infant and the family.
Question 6 of 9
Which of the ff must the nurse consider when administering IV fluids to clients with hypertension?
Correct Answer: B
Rationale: When administering IV fluids to clients with hypertension, the nurse must closely monitor the site and progress of the infusion every hour to ensure proper hydration and detect any signs of complications such as infiltration or infection. Checking the blood pressure every hour, as in choice A, may not be necessary unless specifically indicated by the healthcare provider. Checking the progress of the infusion once a day, as in choice C, does not provide adequate monitoring for a client with hypertension who may be at higher risk for fluid volume overload. Checking the client's pulse rate every hour, as in choice D, is important but does not directly address the immediate monitoring needs related to the administration of IV fluids.
Question 7 of 9
Which of the following assessment findings would suggest to the home health nurse that the patient is developing congestive heart failure?
Correct Answer: A
Rationale: Orthopnea is a common symptom of congestive heart failure. It is defined as difficulty in breathing when lying flat, which improves when sitting up or standing. This occurs due to the redistribution of blood in the body when changing positions. As fluid accumulates in the lungs in congestive heart failure, lying down increases pressure on the chest and impairs breathing. Therefore, orthopnea is a significant assessment finding that would suggest to the home health nurse that the patient is developing congestive heart failure. Fever, weight loss, and calf pain are not typically associated with congestive heart failure.
Question 8 of 9
An adult has been diagnosed with some type of anemia. The results of his blood tests showed: decreased WBC, normal RBC, decreased HCT, decreased Hgb. Based on these data, which of the following nursing diagnosis should the nurse prioritize as the most important?
Correct Answer: A
Rationale: The decreased white blood cell count (WBC) in the blood tests indicates a potential for infection. White blood cells are crucial for fighting off infections in the body. A decrease in WBC count can result in an impaired immune response, making the individual more susceptible to infections. Therefore, the nurse should prioritize the nursing diagnosis of "Potential for infection" to address the heightened risk of infection in the adult with anemia. It is important to monitor for signs and symptoms of infection, provide appropriate hygiene measures, and implement interventions to prevent infections in this individual.
Question 9 of 9
Which leading cause of death topic should the nurse emphasize to a group of African- American boys ranging in age from 15 to 19 years?
Correct Answer: C
Rationale: The nurse should emphasize the leading cause of death topic related to firearm homicide to a group of African-American boys ranging in age from 15 to 19 years. This population is at a higher risk of being victims of firearm violence due to various socio-economic factors and systemic issues. By addressing the issue of firearm homicide, the nurse can provide important information on violence prevention, conflict resolution strategies, and community resources to help keep these young males safe. This education can potentially help reduce the risk of injury or death from firearm-related incidents within this vulnerable population.