ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
The parents of a 12-month-old child ask the nurse if the child can eat hot dogs as do their other children. The nurse's reply should be based on which of the following?
Correct Answer: D
Rationale: Hot dogs are of a consistency, diameter, and round shape that may cause complete obstruction of the child's airway. If given to young children, the hot dog should be cut into small irregular pieces rather than served whole.
Question 2 of 5
Which of the ff. statements does the nurse understand is true concerning air conduction of sound in the ear?
Correct Answer: B
Rationale: Air conduction of sound in the ear involves the transmission of sound waves through the air from the outer ear canal to the middle ear, where they cause the tympanic membrane (eardrum) to vibrate. These vibrations are then transmitted through the ossicles (tiny bones in the middle ear) to the inner ear, where they ultimately stimulate the hair cells in the cochlea to create the auditory nerve impulses. While air conduction is the most common method of sound transmission, it is less efficient than bone conduction. Bone conduction is the transmission of sound vibrations directly to the inner ear through the bones in the skull. This method bypasses the outer and middle ear and is often more efficient in conducting sound, especially at higher frequencies or in individuals with hearing loss related to the outer or middle ear.
Question 3 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.
Question 4 of 5
The nurse is preparing to assist the physician with a bone marrow biopsy. Which of the ff. interventions is most important for the nurse to do before the procedure?
Correct Answer: B
Rationale: Before a bone marrow biopsy procedure, it is most important for the nurse to observe the patient for any signs of bleeding. This includes assessing the patient's coagulation status, looking for any bleeding disorders, and checking the patient's platelet levels. By monitoring for bleeding tendencies before the procedure, the nurse can ensure that the patient is in a stable condition to undergo the bone marrow biopsy safely. Additionally, post-procedure monitoring for bleeding is crucial to prevent complications such as hematoma formation. Explaining the procedure to the family, administering an analgesic, and draping the biopsy site are important steps, but ensuring the patient's safety by assessing for bleeding is the highest priority.
Question 5 of 5
A 6-month-old infant is receiving digoxin (Lanoxin). The nurse should notify the practitioner and withhold the medication if the apical pulse is less than _______ beats/min.
Correct Answer: A
Rationale: Digoxin is a medication commonly used to treat infants with heart conditions. One of the primary concerns with digoxin therapy is the risk of toxicity, which can lead to serious cardiac arrhythmias. Bradycardia, or a heart rate less than 60 beats per minute, is a common sign of digoxin toxicity. Therefore, if a 6-month-old infant receiving digoxin has an apical pulse rate of less than 60 beats/min, the nurse should notify the practitioner and withhold the medication to prevent further complications.