ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 5
The nurse is teaching a client with type 1 diabetes mellitus how to treat adverse reactions to insulin. To reverse a hypoglycemic reaction, the client ideally should ingest an oral carbohydrate. However, this treatment isn't always a possible or safe. Therefore, the nurse should advise the client to keep which alternate treatment on hand?
Correct Answer: C
Rationale: Glucagon is the hormone responsible for raising blood sugar levels in the body. In cases of severe hypoglycemic reactions where the client is unconscious or unable to ingest oral carbohydrates, glucagon can be administered via injection to help raise blood sugar levels rapidly. It is important for clients with type 1 diabetes mellitus to have glucagon on hand as a precautionary measure in case of severe hypoglycemic episodes. Epinephrine is typically used for severe allergic reactions, 50% dextrose is a form of oral carbohydrate, and hydrocortisone is a corticosteroid medication used for various conditions but not for treating hypoglycemia in clients with diabetes.
Question 2 of 5
An infant can move his head from side to side while following a moving object, can lift his head from a prone position 45 degrees off the examining table, smiles when encouraged, and makes cooing sounds. He cannot maintain a seated position. The most likely age of the infant is:
Correct Answer: B
Rationale: At 3 months, infants typically develop the ability to lift their heads 45 degrees in prone, follow objects with their eyes, smile responsively, and make cooing sounds. They are not yet able to sit independently.
Question 3 of 5
Alveolar type of rhabdomyosarcoma accounts for approximately 1/3 of all cases of pediatric RMS and carries the poorest prognosis. Of the following, the MOST common site of involvement by alveolar type RMS is
Correct Answer: C
Rationale: Extremities are the most common site for alveolar rhabdomyosarcoma.
Question 4 of 5
The MOST likely cause of a 4-year-old boy refusing to go to bed and remaining active is
Correct Answer: C
Rationale: Behavioral insomnia involves resistance to bedtime routines.
Question 5 of 5
Sexual abuse should be considered in children who have behavioral problems, although no behavior is pathognomonic. Which of the following behavior should raise the suspicion of sexual abuse?
Correct Answer: D
Rationale: Hypersexuality in children is highly unusual and strongly indicative of possible sexual abuse, as it reflects exposure to inappropriate sexual content or experiences.