ATI RN
FNP Pediatric Practice Questions Questions
Question 1 of 5
The nurse is caring for a patient with HIV who has diarrhea. Which of the following would be most therapeutic to teach the patient to avoid in the diet to reduce diarrhea?
Correct Answer: C
Rationale: Patients with HIV who have diarrhea should avoid consuming raw fruits and vegetables. Raw fruits and vegetables can be more difficult for the digestive system to break down, potentially worsening diarrhea. It is recommended to opt for cooked fruits and vegetables instead as they are easier to digest and less likely to irritate the gut. This can help reduce the frequency and severity of diarrhea in patients with HIV.
Question 2 of 5
A client with idiopathic thrombocytopenic purpura (ITP), an autoimmune disorder, is admitted to an acute care facility. Concerned about hemorrhage, the nurse monitors the client's platelet count and observes closely for signs and symptoms of bleeding. The client is at greatest risk for cerebral hemorrhage when the platelet count falls below:
Correct Answer: B
Rationale: In a client with idiopathic thrombocytopenic purpura (ITP), a platelet count falling below 20,000/ul puts them at the greatest risk for cerebral hemorrhage. This is because the risk of spontaneous bleeding, especially in critical areas like the brain, significantly increases as platelet counts drop below this level. The brain is a sensitive organ, and even minor bleeds can have serious consequences. Therefore, it is crucial for healthcare providers to closely monitor platelet counts and promptly intervene to prevent life-threatening hemorrhage in clients with ITP.
Question 3 of 5
A client with rheumatoid arthritis is being discharged with a prescription for aspirin (Ecotrin), 600mg PO every 6 hours. The nurse should instruct the client to notify the physician if which adverse drug reaction occurs?
Correct Answer: B
Rationale: Tinnitus is a known adverse drug reaction to aspirin, especially at higher doses. Tinnitus is described as ringing, buzzing, or other noises in the ears. If a client experiences tinnitus while taking aspirin, it is important to notify the physician promptly as it could be a sign of aspirin toxicity. Monitoring and managing this adverse reaction are crucial to prevent further complications for the client.
Question 4 of 5
The nurse is caring for a client with thrombocytopenia. What is the best way to protect this client?
Correct Answer: C
Rationale: Thrombocytopenia is a condition characterized by a low platelet count in the blood, which can lead to abnormal bleeding and bruising. Using the smallest needle possible for injections helps minimize the risk of causing bleeding or bruising in clients with thrombocytopenia. Larger needles can cause more tissue damage and increase the chances of bleeding complications in these individuals. Therefore, using the smallest needle possible is the best way to protect the client from potential harm related to their condition.
Question 5 of 5
Which of the following statements is true regarding Joel's disorder? a.Hemophilia is an autosomal dominant disorder in which the woman carries the trait
Correct Answer: C
Rationale: Hemophilia is an X-linked disorder, meaning the gene responsible for hemophilia is carried on the X chromosome. Typically, hemophilia is passed down from a carrier mother to her male offspring who then express the disorder. This is because males have only one X chromosome (inherited from their mother), making them more vulnerable to X-linked disorders. Females have two X chromosomes, which means that even if one carries the hemophilia gene, the other X chromosome may carry a normal gene that can compensate, making females less likely to exhibit symptoms of hemophilia. In this case, Joel's disorder aligns with the typical pattern of inheritance for hemophilia as described in statement C.