ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 5
Tiffany is diagnosed with increased intracranial pressure (ICP); which of the following if stated by her parents would indicate a need for Nurse Charlie to reexplain the purpose for elevating the head of the bed at a 10 to 20-degree angle?
Correct Answer: B
Rationale: Elevating the head of the bed at a 10 to 20-degree angle helps to increase intrathoracic pressure. This increase in pressure can aid in promoting cerebrospinal fluid drainage and reducing intracranial pressure. It is important to maintain the correct angle to achieve the desired effect and avoid potential complications. If Tiffany's parents mention this as the reason for elevating the bed, Nurse Charlie should reexplain the purpose to ensure they understand the intended outcome.
Question 2 of 5
To decrease the likelihood of bradyarrhythmias in children during endotracheal intubation, succinylcholine(Anectine) is used with which of the following agents?
Correct Answer: C
Rationale: Succinylcholine administration can lead to bradycardia or bradyarrhythmias in children due to its depolarizing neuromuscular blockade effects. To counteract this detrimental effect and decrease the likelihood of bradyarrhythmias, atropine sulfate is commonly used in conjunction with succinylcholine. Atropine, an anticholinergic agent, works by blocking the action of acetylcholine on muscarinic receptors, which helps prevent vagal-induced bradycardia. This approach is especially important in pediatric patients to maintain a stable heart rate and hemodynamic status during endotracheal intubation.
Question 3 of 5
A 90 y.o. nursing home resident with stage 2 Alzheimer's disease is found alone and crying in the dining room. She says she lost her mother and doesn't know what to do. Which response by the nurse will help calm the resident?
Correct Answer: C
Rationale: Option C, "Are you feeling frightened? I'm here and I will help you," is the most appropriate response to help calm the resident. The resident is experiencing confusion and distress, likely due to her Alzheimer's disease. Invalidating her feelings by reminding her of the reality may lead to more confusion and distress. Instead, acknowledging the resident's emotions, offering support, and reassuring her of your presence can help calm her down and provide comfort in the moment. It is important to provide emotional support and reassurance to individuals with Alzheimer's disease, rather than focusing on correcting their statements or reminding them of reality.
Question 4 of 5
The MOST likely cause of a 4-year-old boy refusing to go to bed and remaining active is
Correct Answer: C
Rationale: Behavioral insomnia involves resistance to bedtime routines.
Question 5 of 5
The nurse in the postoperative unit prepares to receive a client after a balloon angioplasty of the carotid artery. Which of the ff items of priority should the nurse keep at the bedside for such client?
Correct Answer: A
Rationale: Having a blood pressure apparatus at the bedside is a priority for a client following a balloon angioplasty of the carotid artery. Monitoring blood pressure closely is essential to assess for any signs of complications such as bleeding or thrombosis after the procedure. Rapid identification and management of any changes in blood pressure are crucial in the immediate postoperative period to ensure the client's safety and well-being. It allows the nurse to promptly intervene if there are any signs of complications, helping to prevent further harm to the client.