ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 of 5
Thirty minutes after the nurse removes a nasogastric tube that has been In place for seven days, the patient experiences epistaxis (nosebleed). Which of the following nursing actions is most appropriate to control the bleeding? a.Apply pressure by pinching the anterior portion of the for five to ten minutes
Correct Answer: A
Rationale: The most appropriate nursing action to control the bleeding in this situation is to apply pressure by pinching the anterior portion of the nose for five to ten minutes. This is a common first aid technique used to stop nosebleeds, known as epistaxis. Applying pressure helps promote clotting and stops the bleeding. Placing the patient in a sitting position with the neck hyperextended or packing the nostrils with gauze for several days are not recommended first-line actions for controlling a nosebleed. The use of ice compresses to the forehead and neck may constrict blood vessels but is not as effective as direct pressure to the nose in this case.
Question 2 of 5
Autoimmunity is defined as a phenomenon involving which of the following?
Correct Answer: D
Rationale: Autoimmunity is a phenomenon in which the immune system mistakenly targets and attacks the body's own cells, tissues, and organs. This occurs due to a breakdown in the immune system's ability to differentiate "self" from "nonself." In a healthy immune system, immune cells recognize and destroy foreign invaders while avoiding attacking the body's own cells. When this self-tolerance is lost, autoimmune diseases can develop, leading to inflammation, tissue damage, and various health problems. Therefore, autoimmunity is defined by the immune system's inability to distinguish between self and nonself.
Question 3 of 5
One of the side effects of INH administration is peripheral neuropathy. To prevent this effect, Nurse Carlos teaches Andrew to:
Correct Answer: C
Rationale: Pyridoxine, also known as vitamin B6, is necessary for the prevention of INH-induced peripheral neuropathy. INH can lead to a deficiency of vitamin B6 in the body, which in turn can cause nerve damage and peripheral neuropathy. By supplementing the diet with pyridoxine, the risk of developing peripheral neuropathy as a side effect of INH administration can be minimized. It is an important preventive measure recommended for those undergoing treatment with INH to ensure the proper functioning of the nervous system and prevent nerve damage.
Question 4 of 5
The pediatric nurse prepares a patient, who is newly paralyzed, for discharge. The patient will require home care, ancillary therapies, complex medication regimens, and would benefit from a peer support group. To ensure adequate preparation for discharge and transition to home life, the nurse will:
Correct Answer: A
Rationale: Organizing a care conference ensures all aspects of the patient's care are addressed and coordinated effectively.
Question 5 of 5
Older school-age children who begin to participate in competitive sports should have a careful evaluation of the
Correct Answer: D
Rationale: Cardiovascular evaluation is important for children participating in competitive sports.