ATI RN
Essential of Pediatric Nursing Test Bank Questions
Question 1 of 5
The nurse is instructed to perform preoperative preparation for the management of a client with malignant tumors. Which of the ff is the most important factor of the nursing management plan?
Correct Answer: B
Rationale: Peritonitis is a serious and potentially life-threatening condition that can occur as a complication of malignant tumors. It is characterized by inflammation of the lining of the abdomen and can result in severe abdominal pain, tenderness, fever, and other symptoms. Prompt assessment of peritonitis symptoms is crucial for early detection and intervention to prevent further complications and improve patient outcomes. Assessing for peritonitis symptoms should be the priority in the nursing management plan to ensure timely and appropriate care for the client with malignant tumors.
Question 2 of 5
Ms. CC's laboratory values indicate hemoconcentration secondary to fluid loss. Which of the following intravenous solutions would be most appropriate during initial fluid replacement therapy?
Correct Answer: A
Rationale: In hemoconcentration due to fluid loss, the primary goal is to rapidly expand the intravascular volume and correct the deficit. The most appropriate intravenous solution for initial fluid replacement therapy in this case is 10% dextrose and saline. This solution is isotonic, which means it has an osmolarity close to that of blood and is effective in quickly restoring intravascular volume without causing significant shifts in electrolytes. The saline component helps to replenish lost electrolytes while the dextrose provides energy and helps prevent hypoglycemia. The combination of dextrose and saline is beneficial for addressing both intravascular volume depletion and dehydration causing hemoconcentration.
Question 3 of 5
Which of the following method if used by Wilma will best assure that the tracheostomy ties are not too tightly placed?
Correct Answer: A
Rationale: Placing 2 fingers between the tracheostomy tie and the neck is a reliable method to ensure that the tie is not too tight. This technique allows for proper circulation around the neck area and helps prevent skin irritation or pressure ulcers from developing. It strikes a balance between securing the tracheostomy in place and maintaining the patient's comfort and safety. Checking for appropriate tightness by using the finger method is a standard practice in tracheostomy care to prevent complications related to excessive pressure or constriction.
Question 4 of 5
An elderly nursing home resident who has always been alert and oriented is now showing signs of dehydration and has become confused. Which electrolyte imbalance is most likely involved?
Correct Answer: A
Rationale: Hyponatremia is an electrolyte imbalance characterized by low sodium levels in the blood. Sodium plays a crucial role in regulating the body's fluid balance and is essential for nerve and muscle function. Elderly individuals are at a higher risk of developing hyponatremia due to various factors, including medication use, reduced thirst sensation, and impaired kidney function.
Question 5 of 5
A patient visits her nurse practitioner (NP) after she has a cold for a week and is now experiencing a severe headache and fever. Her NP diagnoses a sinus infection. Which of the following additional symptoms is the patient likely to exhibit?
Correct Answer: A
Rationale: Sinus infections, also known as sinusitis, are often characterized by symptoms such as congestion, facial pain or pressure, and nasal discharge. Facial tenderness over the affected sinuses, particularly when tapping on the area, is a common symptom associated with sinus infections due to the inflammation and buildup of mucus in the sinuses. This tenderness is often present in the cheeks, forehead, or around the eyes. The other symptoms mentioned in the choices (photophobia, chest pain, ear drainage) are less commonly associated with sinus infections compared to facial tenderness.