ATI RN
Cardiovascular Conditions Pediatrics Test Bank Questions Free Nursing Questions
Question 1 of 5
The nurse is assessing clients in an outpatient diabetic clinic. Which entry provides the best evidence that the client is adhering to the prescribed diabetic regimen?
Correct Answer: A
Rationale: In this scenario, option A, "Hemoglobin A1C of 6.2%," provides the best evidence that the client is adhering to the prescribed diabetic regimen. Hemoglobin A1C is a valuable indicator of long-term glucose control, reflecting average blood glucose levels over the past 2-3 months. A level of 6.2% indicates good glycemic control and suggests that the client has been consistently following their prescribed diabetic regimen. Option B, "Fasting blood glucose of 130 mg/dL," is a single point-in-time measurement and may not accurately represent the client's overall glucose control. It can fluctuate throughout the day based on various factors. Option C, "Positive urine ketones," indicates the presence of ketones in the urine, which typically signifies poor diabetes management and potential complications like diabetic ketoacidosis. It is not a reliable indicator of adherence to the prescribed regimen. Option D, "Self-reported daily blood glucose monitoring," while a positive behavior, relies on self-reporting, which may not always be accurate. Objective measures like A1C provide more reliable evidence of adherence. Educationally, it is crucial for nurses to understand the significance of different parameters in assessing diabetic control. Teaching patients the importance of regular monitoring, medication adherence, and lifestyle modifications can help improve outcomes and prevent complications in pediatric patients with diabetes.
Question 2 of 5
A male client is recovering from an episode of urinary tract calculi. During discharge teaching, the client asks about the dietary restriction he should follow. In discussing fluid intake, the nurse should include which type of fluid limitation?
Correct Answer: C
Rationale: The correct answer is C) Tea and hot chocolate. When a client is recovering from urinary tract calculi, especially if they were calcium oxalate stones, they should limit their intake of foods and drinks high in oxalates, such as tea and hot chocolate. Oxalates can contribute to the formation of these types of stones, so restricting them can help prevent recurrence. Option A, low-sodium soups, is not directly related to urinary tract calculi, so it is not the most appropriate choice. Option B, overall fluid intake, should not be limited as adequate hydration is important in preventing stone formation. Option D, citrus fruit juices, should not be restricted unless the client has a specific sensitivity to them. In an educational context, it is crucial for nurses to provide accurate and relevant dietary information to clients recovering from urinary tract calculi to help prevent recurrence and promote optimal health. Understanding the impact of specific foods and fluids on the formation of stones is essential in guiding dietary recommendations.
Question 3 of 5
A client uses triamcinolone (Kenalog), a corticosteroid ointment, to manage pruritus caused by a chronic skin rash. The client calls the clinic nurse to report increased erythema with purulent exudate at the site. Which action should the nurse implement?
Correct Answer: A
Rationale: In this scenario, the correct action for the nurse to implement is to schedule an appointment for the client to see the healthcare provider (Option A). The increased erythema with purulent exudate at the site indicates a possible infection, which is a common complication of corticosteroid use. By scheduling an appointment for the client to see the healthcare provider, the nurse ensures that the client receives a proper evaluation and appropriate treatment for the infection. This is crucial in preventing the infection from worsening and potentially leading to serious complications. Option B, advising the client to apply more corticosteroid cream, is incorrect as it can further exacerbate the infection by suppressing the immune response and promoting bacterial growth. Option C, recommending the use of an antibiotic ointment, is also incorrect as systemic antibiotics may be needed and should be prescribed by a healthcare provider after a thorough evaluation. Option D, instructing the client to stop using the medication for 24 hours, is not appropriate as the client needs prompt medical attention for the infection. Educationally, this scenario highlights the importance of recognizing potential complications of medication use and the need for timely intervention by healthcare providers. It emphasizes the role of nurses in assessing, triaging, and advocating for clients' health and well-being. Nurses play a crucial role in patient education, monitoring for adverse effects, and facilitating timely access to appropriate healthcare interventions.
Question 4 of 5
The nurse determines that a client who arrives in the preoperative holding area before surgery is allergic to bananas. Which action should the nurse implement prior to taking the client into the operative area?
Correct Answer: A
Rationale: In this scenario, the correct action is to replace latex-containing devices in the operating room with alternate synthetic materials. This is crucial because the client has a known allergy to bananas, and individuals with latex allergies often have cross-reactivity with certain fruits like bananas due to shared allergenic proteins. Latex can be found in many medical devices, and exposure during surgery can lead to a severe allergic reaction in sensitive individuals. Option B, administering an antihistamine before surgery, is not the most appropriate action in this situation. While antihistamines can help manage allergic symptoms, preventing exposure to latex is the priority to avoid a potential life-threatening reaction. Option C, notifying the surgeon about the client's banana allergy, is important but does not directly address the risk of latex exposure in the operating room. It is essential for the surgical team to be aware of all allergies, but the nurse must also take immediate action to prevent latex exposure. Option D, preparing to administer an epinephrine injection during surgery, is a reactive measure and should not be the primary strategy. Preventing exposure to the allergen is key in managing allergies effectively. Educationally, this question highlights the importance of thorough assessment, patient safety, and knowledge of common allergens in healthcare settings. Understanding cross-reactivity between latex and certain fruits is crucial for nurses to provide safe care and prevent adverse events in allergic individuals.
Question 5 of 5
A woman who works as a data entry clerk is concerned as to how recent diagnosis of Raynaud's syndrome is going to affect her job performance. Which instruction should the nurse provide this client?
Correct Answer: A
Rationale: The correct answer is A) Use a space heater to keep the workspace warm. Raynaud's syndrome is a condition characterized by vasospasms in response to cold or stress, leading to reduced blood flow to extremities like fingers and toes. Keeping the workspace warm can help prevent triggering vasospasms and alleviate symptoms. Option B) Keeping hands elevated above the heart does not directly address the issue of cold-induced vasospasms in Raynaud's syndrome, so it is not the best instruction for this client. Option C) Wearing tight gloves during work can potentially worsen symptoms by restricting blood flow further, making this option incorrect for managing Raynaud's syndrome. Option D) While taking breaks can help improve circulation, it may not be as effective as maintaining a warm workspace in preventing vasospasms in Raynaud's syndrome. In an educational context, it is essential for nurses to provide evidence-based instructions to clients with Raynaud's syndrome to help them manage their condition effectively and maintain optimal job performance. Educating patients on environmental modifications, like using a space heater, can empower them to make informed decisions to improve their quality of life.