ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
The nurse is aware that a neonate of a mother with diabetes is at risk for what complication?
Correct Answer: B
Rationale: Neonates born to mothers with diabetes are at risk for hypoglycemia due to their exposure to high blood glucose levels in the womb. During pregnancy, the baby's pancreas produces extra insulin to handle the excess glucose from the mother, but after birth, there may be a sudden drop in blood glucose levels in the baby, leading to hypoglycemia. It is important to monitor blood glucose levels closely in these neonates and provide appropriate interventions to prevent and manage hypoglycemia. Anemia, nitrogen loss, and thrombosis are not typically associated with neonates of mothers with diabetes.
Question 2 of 5
Buck's traction with a 10 lb. weight is securing a patient's leg while she is waiting for surgery to repair a hip fracture. It is important to check circulation- sensation-movement:
Correct Answer: C
Rationale: It is important to check circulation, sensation, and movement of the patient's leg secured with Buck's traction every 4 hours. Checking every shift may not provide a frequent enough monitoring interval, while checking every day or every 15 minutes may be too infrequent or excessive, respectively. Regular assessments are necessary to detect any changes in the patient's condition promptly and ensure the effectiveness and safety of the traction device. This frequency allows healthcare providers to identify any potential issues early and take appropriate action to prevent complications.
Question 3 of 5
Reye's syndrome is a rare and severe illness affecting children and teenagers. Its development has been linked with the use of aspirin and which of the following?
Correct Answer: D
Rationale: Reye's syndrome is a rare but serious condition that primarily affects children and teenagers. It is characterized by swelling in the liver and the brain. The development of Reye's syndrome has been linked with the use of aspirin during viral infections, particularly influenza and varicella (chickenpox). Therefore, the correct answer is D. Varicella. It is crucial to avoid giving aspirin to children and teenagers during these viral infections to reduce the risk of developing Reye's syndrome.
Question 4 of 5
Among toddlers and children up to age five, femur fractures usually result from a low energy fall. In most cases, the orthopedic surgeon realigns the fractureusing fluoroscopy or x-ray imaging as a guide and immobilizes the leg in a type of cast called a spica cast. Approximately how many weeks does it take for a fractured femur to heal in a 3-year-old?
Correct Answer: C
Rationale: In general, it takes approximately 6 to 8 weeks for a fractured femur in a 3-year-old child to heal. Children tend to heal faster than adults due to their higher metabolism and more robust bone growth. The spica cast helps stabilize the fracture and provides the necessary support for proper healing. Regular monitoring through x-ray imaging ensures the healing progress and guides the decision for cast removal.
Question 5 of 5
Baby Jonathan was born with cleft lip (CL); Nurse Barbara would be alert that which of the following will most likely be compromised?
Correct Answer: C
Rationale: A cleft lip (CL) can significantly impact a baby's ability to create a proper seal while sucking. Sucking ability is crucial for a newborn's feeding process, as it is necessary for obtaining nutrition from breast milk or formula. A compromised sucking ability can lead to difficulties in feeding, inadequate intake of nutrients, and poor weight gain. Therefore, Nurse Barbara should be particularly alert to the potential challenges that baby Jonathan may face in establishing a sufficient sucking mechanism.