ATI RN
FNP Pediatric Practice Questions Questions
Question 1 of 5
The nurse notes that a child has lost 8 pounds after 4 days of hospitalization for acute glomerulonephritis. What is most likely the cause of the weight loss?
Correct Answer: C
Rationale: The child most likely lost 8 pounds due to a reduction of edema. Acute glomerulonephritis is a condition that can lead to significant fluid retention in the body, causing edema (swelling). When the child was hospitalized and received treatment, such as diuretics, to address the underlying cause of the edema, the excess fluid and weight would be lost. This reduction in edema is the most common reason for weight loss in this scenario, rather than poor appetite, increased potassium intake, or restriction to bed rest.
Question 2 of 5
Which is most suggestive that a nurse has a nontherapeutic relationship with a patient and family?
Correct Answer: A
Rationale: Option A is the most suggestive that a nurse has a nontherapeutic relationship with a patient and family because when the staff is concerned about the nurse's actions with the patient and family, it indicates that there may be issues or red flags in the nurse's interactions. This could imply that the nurse's behavior is not promoting a positive, therapeutic relationship with the patient and family, which is crucial for effective care delivery. Staff concerns may arise due to behaviors that are inappropriate, unprofessional, or lacking empathy, which can hinder the development of a therapeutic relationship and affect the quality of care provided.
Question 3 of 5
What usually triggers the weight loss of anorexia nervosa?
Correct Answer: D
Rationale: Weight loss in anorexia nervosa is commonly triggered by various factors, including traumatic interpersonal conflicts. These conflicts may involve strained relationships with family members, friends, or other individuals, contributing to emotional distress and disturbances in eating behaviors. Individuals with anorexia nervosa may engage in extreme restriction of food intake as a way to cope with and gain a sense of control over the challenging emotions arising from these conflicts. It is important to address and work through these underlying interpersonal issues through therapy and support in the treatment of anorexia nervosa.
Question 4 of 5
A client has been diagnosed with type 1 diabetes mellitus. When teaching the client and family how diet and exercise affect insulin requirements, the nurse should include which guideline?
Correct Answer: B
Rationale: When a client with type 1 diabetes mellitus exercises or reduces their food intake, it can lead to a decrease in blood glucose levels. This is because the body is using up glucose for energy during exercise or receiving less glucose from food intake. As a result, the client would require less insulin to manage their blood glucose levels, since there is less glucose present in the bloodstream that needs to be regulated. It is important for the client and family to understand this relationship between diet, exercise, and insulin requirements to effectively manage the client's diabetes.
Question 5 of 5
Which of the following is information the nurse would be correct in giving the patient about smoking and its effect on BP?
Correct Answer: D
Rationale: Smoking is a known risk factor for hypertension. Chronic smoking leads to sustained elevation in blood pressure by causing vasoconstriction of the blood vessels, increasing heart rate, and promoting the formation of plaques in the arteries. This can contribute to the development of hypertension over time. Therefore, the nurse would be correct in informing the patient that smoking causes sustained elevation in blood pressure.