ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 of 5
The parents of a 9-month-old infant tell the nurse that they have noticed foods such as peas and corn are not completely digested and can be seen in their infant's stools. The nurse's explanation of this is based on which statement?
Correct Answer: D
Rationale: The correct answer is D. This is normal because of the immaturity of digestive processes at this age. At 9 months old, infants are still in the process of developing their digestive system. It is common for them to have difficulty digesting certain foods, especially those high in fiber like peas and corn. This is due to the immaturity of their digestive enzymes and processes. As the infant grows, their digestive system will continue to mature, and they will be able to digest these types of foods more effectively. Therefore, there is no need for further investigation or restriction of solid foods.
Question 2 of 5
A client is admitted to an acute care facility with esophageal cancer. The incidence of esophageal cancer is highest in:
Correct Answer: A
Rationale: The incidence of esophageal cancer is highest in black males. Studies have shown that black males have a higher risk of developing esophageal cancer compared to other demographic groups. Various factors contribute to this increased risk, including genetic predisposition, lifestyle habits (such as smoking and alcohol consumption), and potential disparities in access to healthcare and early detection. It is important for healthcare providers to be aware of these disparities in order to provide appropriate care and support for individuals at higher risk for esophageal cancer.
Question 3 of 5
Nursing assessment for a patient with metabolic alkalosis includes evaluation of laboratory data for all of the following except:
Correct Answer: C
Rationale: Nursing assessment for a patient with metabolic alkalosis includes evaluation of laboratory data for hypocalcemia, hypokalemia, and hypoxemia as these are commonly associated with this acid-base imbalance. Hypoglycemia, on the other hand, is not typically linked with metabolic alkalosis and is not commonly assessed in this context. Therefore, hypoglycemia would not be a key focus of nursing assessment in a patient with metabolic alkalosis.
Question 4 of 5
The nurse is admitting a school-age child in acute renal failure with reduced glomerular filtration rate. Which urine test is the most useful clinical indication of glomerular filtration rate?
Correct Answer: C
Rationale: Creatinine is a waste product produced by muscle metabolism that is normally filtered by the glomerulus in the kidneys and excreted in urine. The level of creatinine in the urine is a direct reflection of the glomerular filtration rate (GFR). As GFR decreases in conditions such as acute renal failure, the amount of creatinine excreted in the urine also decreases. Therefore, measuring creatinine levels in the urine is a useful clinical indication of the glomerular filtration rate and kidney function. pH, osmolality, and protein level may provide additional information but are not as directly linked to GFR as creatinine levels.
Question 5 of 5
A child is brought to the emergency department experiencing an anaphylactic reaction to a bee sting. While an airway is being established, the nurse should prepare which medication for immediate administration?
Correct Answer: C
Rationale: In the management of anaphylaxis, the immediate medication of choice for administration is epinephrine. Epinephrine is a potent vasoconstrictor and bronchodilator which helps restore blood pressure and open up the airways during an anaphylactic reaction. It is the first-line treatment to reverse the potentially life-threatening effects of an allergic reaction. Other medications, like diphenhydramine or dobutamine, may be used as adjuncts later in the treatment, but epinephrine is crucial for immediate administration to stabilize the child's condition.