ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
The physician orders tests to determine if a client has systemic lupus erythematosus (SLE). Which test result confirms SLE?
Correct Answer: B
Rationale: An above-normal anti-deoxyribonucleic acid (anti-dsDNA) test result confirms systemic lupus erythematosus (SLE). Anti-dsDNA antibodies are highly specific for SLE and are found in about 70% of individuals with the condition. These antibodies target the genetic material within the cell nucleus and are strongly associated with lupus nephritis, a severe complication of SLE. Therefore, an elevated anti-dsDNA test result would be a key indicator of SLE diagnosis.
Question 2 of 5
A client is diagnosed with rheumatoid arthritis, an autoimmune disorder. When teaching the client and family about autoimmune disorders, the nurse should provide which information?
Correct Answer: C
Rationale: Autoimmune disorders include connective tissue (collagen) disorders. Connective tissue disorders, such as rheumatoid arthritis, systemic lupus erythematosus, and scleroderma, are a type of autoimmune disorder. In these conditions, the body's immune system mistakenly attacks its own tissues, including the connective tissues. Therefore, it is important for the client and family to understand that connective tissue disorders fall under the category of autoimmune disorders. This knowledge can help them better understand the nature of the disease and how it affects the body.
Question 3 of 5
Which iron-rich foods should the nurse encourage an anemic client requiring iron therapy to eat?
Correct Answer: D
Rationale: Both lamb and peaches are rich sources of iron. Lamb is a type of red meat that is high in heme iron, which is a form of iron that is easily absorbed by the body. Peaches, on the other hand, are a fruit that contains non-heme iron, which is not as easily absorbed but can still contribute to increasing iron levels in the body. Including these iron-rich foods in the diet of an anemic client can help improve their iron levels and overall health.
Question 4 of 5
Aisa is to receive a liquid iron preparation. Which of the following directions would be appropriate for the nurse to teach Aisa's mother? a.Administer this at least an hour before meals
Correct Answer: C
Rationale: Avoid giving Aisa orange or other citric juices with the iron preparation. Citric juices, such as orange juice, can decrease the absorption of iron in the body. Therefore, it is important to avoid giving these juices when administering the liquid iron preparation to Aisa to ensure optimal absorption of the iron. It would be best to encourage the use of non-citric juices or water when administering the iron preparation to Aisa.
Question 5 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.