ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
The nurse is conducting a staff in-service on renal ultrasounds. Which statement describes this diagnostic test?
Correct Answer: B
Rationale: Renal ultrasound is a non-invasive imaging technique that uses high-frequency sound waves to produce images of the kidneys and surrounding structures. Unlike computed tomography (CT) scans (Choice A) or intravenous pyelograms (Choice C) which may involve exposure to radiation or contrast medium, renal ultrasounds do not expose the patient to radiation or radioactive isotopes, making it a safe option for imaging the renal system. Ultrasounds are commonly used to assess kidney size, detect kidney stones, evaluate blood flow to the kidneys, and diagnose various renal conditions, such as hydronephrosis or renal cysts.
Question 2 of 5
A client with primary diabetes insipidus is ready for discharge on desmopressin (DDAVP). Which instruction should the nurse provide?
Correct Answer: C
Rationale: It is important for the nurse to instruct the client that they may not be able to use desmopressin nasally if they have nasal discharge or blockage. This is because nasal absorption is critical for the effectiveness of desmopressin, and any nasal issues may hinder proper absorption. If the client experiences nasal discharge or blockage, an alternative route for administering desmopressin may need to be considered, such as oral or injectable forms. This instruction is essential to ensure the client receives the medication effectively and manages their condition appropriately.
Question 3 of 5
A client is in isolation after receiving an internal radioactive implant to treat cancer. Two hours later, the nurse discovers the implant in the bed linens. What should the nurse do first?
Correct Answer: B
Rationale: The nurse should first pick up the internal radioactive implant with long-handled forceps and place it in a lead-lined container. This action ensures the safety of the nurse and prevents further exposure to radiation. Handling the implant with forceps helps minimize direct contact, and placing it in a lead-lined container containing the radiation will effectively shield any further exposure. Once the implant is secured, proper authorities should be notified to take further action and ensure the client's safety.
Question 4 of 5
Halfway through the administration of a unit of blood, a client complains of lumbar pain. The nurse should:
Correct Answer: C
Rationale: Lumbar pain during a blood transfusion can be a sign of an adverse reaction, such as a transfusion reaction. Any complaints of pain during a transfusion should not be ignored. In this case, the nurse should first stop the transfusion to prevent any further complications. The client should be assessed promptly for other signs of a transfusion reaction, and appropriate actions should be taken as needed to ensure the client's safety and well-being.
Question 5 of 5
Hepatitis C virus infection is a risk factor for which of the following malignancy?
Correct Answer: B
Rationale: Hepatitis C is a known risk factor for splenic lymphoma and other B-cell lymphoproliferative disorders.