ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
The nurse notes frequent muscle twitching when collecting admission data on a patient admitted for increasing muscle weakness. Which of the ff. terms should the nurse use to document this?
Correct Answer: A
Rationale: Fasciculations are small, involuntary muscle contractions or twitching observed under the skin. In this scenario, the nurse noted frequent muscle twitching in the patient, which aligns with the characteristic manifestation of fasciculations. It is important for the nurse to accurately document this observation as it can provide valuable information to the healthcare team in assessing the patient's condition and determining the underlying cause of the muscle weakness. Chorea refers to irregular, rapid, and jerky movements that are not present in this case. Atrophy indicates muscle wasting, while neuropathy involves damage or dysfunction of nerves, neither of which specifically describes the observed muscle twitching.
Question 2 of 5
A 2-year-old child is found playing with a can of crystalline drain cleaner. There are several crystals in the mouth, which you have the mother wash out. Treatment should be to
Correct Answer: C
Rationale: Alkaline substances like drain cleaner can cause severe esophageal burns. Immediate administration of water or milk to dilute the substance and esophagoscopy to assess damage are necessary.
Question 3 of 5
A complete blood workup is ordered for a 5 month old with tetralogy of Fallot. Because of the infant's heart disease, the nurse would expect the report to show:
Correct Answer: B
Rationale: Tetralogy of Fallot is a congenital heart defect that affects the flow of blood through the heart. In this condition, there is decreased pulmonary blood flow leading to reduced oxygenation of the blood. To compensate for the low oxygen levels in the blood, the body may increase the production of red blood cells, resulting in polycythemia (an increased red blood cell count). This is the body's way of trying to ensure that enough oxygen is carried to the tissues despite the heart defect. Therefore, in a 5-month-old infant with tetralogy of Fallot, the nurse would expect the blood workup to show polycythemia.
Question 4 of 5
Associated anomalies have been reported in up to 30% of congenital diaphragmatic hernia cases; these include the following EXCEPT
Correct Answer: B
Rationale: CNS lesions are not commonly associated with congenital diaphragmatic hernia. The other anomalies are frequently seen in conjunction with CDH.
Question 5 of 5
Contact lenses are associated with
Correct Answer: D
Rationale: Giant papillary conjunctivitis is common in contact lens wearers due to chronic mechanical irritation and immune response.