ATI RN
Essential of Pediatric Nursing Test Bank Questions
Question 1 of 5
The nurse assesses for the characteristic movement of Parkinson's disease which is a (n):
Correct Answer: D
Rationale: The characteristic movement of Parkinson's disease is the pronation-supination of the hand and forearm, also known as the "pill-rolling" tremor. This movement interferes with normal hand activities and is a common early sign of Parkinson's disease. Exaggerated muscle flaccidity leading to frequent falls and hyperextension of the back and neck are not typically associated with Parkinson's disease.
Question 2 of 5
Which of the following positions would be most appropriate for a patient with right-sided paralysis following a stroke?
Correct Answer: B
Rationale: In the context of a patient with right-sided paralysis following a stroke, the most appropriate position is option B) On the side with support to the back, pillows to keep the body in alignment, hips slightly flexed, and a washcloth placed so that fingers are slightly curled. This position helps prevent complications such as contractures and pressure ulcers by maintaining proper alignment and providing support to the affected side. Option A is incorrect because tightly holding a rolled washcloth may restrict circulation and lead to skin breakdown. Option C is unsuitable as placing the patient on the back with two large pillows under the head and a pillow under the knees does not adequately address the specific needs of a patient with right-sided paralysis. Option D is incorrect as not using pillows under the back can lead to poor alignment and discomfort for the patient. Educationally, understanding the rationale behind positioning in patients with paralysis is crucial for nursing students. Proper positioning can help prevent complications and promote comfort and recovery in patients with neurological deficits. It is essential for nurses to have a sound knowledge of positioning techniques to provide optimal care for patients with various conditions like stroke.
Question 3 of 5
Which food choice contains the highest kilocalorie?
Correct Answer: C
Rationale: Bacon contains the highest kilocalories among the food choices provided. Bacon is high in fat, with approximately 42 kilocalories per slice (8 grams) compared to other options like an apple (52 kilocalories), chicken (231 kilocalories), and bread (79 kilocalories). The high fat content in bacon contributes to its higher caloric value compared to the other choices listed. As such, bacon is the food choice with the highest kilocalorie content in this selection.
Question 4 of 5
An adult has and IV line in the right forearm infusing D5 ½ NS with 20 mEq of potassium at 75 ml/h. which statement would be a correct report from the RN?
Correct Answer: A
Rationale: The correct report from the RN in this situation would be option A. This report accurately describes the situation by mentioning that the potassium bag is piggybacked into the dextrose at 75 ml/h, stating that the clamp should be closed below the D5 ½ NS bag, and clarifying that potassium is on the secondary line. Additionally, the statement that 75 ml will infuse in one hour is also correct based on the infusion rate provided in the question. Therefore, option A is the most appropriate and accurate report to provide in this scenario.
Question 5 of 5
Of the following, the MOST likely cause of constipation is
Correct Answer: C
Rationale: In this question, the correct answer is C) functional constipation. Functional constipation is the most likely cause of constipation in children because it is a common issue in pediatric populations. Functional constipation is typically due to factors such as diet, lack of fluids, lack of physical activity, and behavioral issues like ignoring the urge to have a bowel movement. Hypothyroidism (Option A) can cause constipation in children, but it is less common compared to functional constipation. Hirschsprung disease (Option B) is a congenital condition where nerve cells are missing in the large intestine, leading to severe constipation, usually in infants. Celiac disease (Option D) can cause gastrointestinal symptoms, including diarrhea, but it is not a typical cause of constipation in children. In an educational context, understanding the common causes of pediatric constipation is crucial for nurses working in pediatric settings. Recognizing the differences between these conditions helps nurses provide appropriate care and interventions for children experiencing constipation. By knowing the signs and symptoms associated with each condition, nurses can collaborate effectively with healthcare providers to ensure accurate diagnosis and treatment for pediatric patients.