ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
To treat cervical cancer, a client has had an applicator of radioactive material placed in the vagina. Which observation by the nurse indicates a radiation hazard?
Correct Answer: B
Rationale: Keeping the head of the bed at a 30-degree angle can dislodge the applicator of radioactive material placed in the vagina. When caring for a client with a radioactive applicator, it is important to ensure that the position of the applicator is maintained to prevent radiation exposure to staff and other clients. This can be achieved by keeping the head of the bed flat without elevation. The other options are appropriate measures in caring for a client with a radioactive applicator.
Question 2 of 5
A pregnant client requires immediate but temporary protection from chickenpox. Which type of immunization would be required?
Correct Answer: D
Rationale: Passive immunization involves the administration of pre-formed antibodies rather than stimulating the individual's immune system to produce its own antibodies (active immunization). In the case of a pregnant client requiring immediate but temporary protection from chickenpox, passive immunization would be the most appropriate choice. This is because passive immunization can provide immediate protection without activating the pregnant individual's immune system, which could pose potential risks during pregnancy. By introducing pre-formed antibodies against chickenpox, the pregnant client can acquire temporary immunity to the virus, safeguarding both her and her developing baby.
Question 3 of 5
Which of the following complications can occur if a clotted cannula is aggressively flushed?
Correct Answer: A
Rationale: If a clotted cannula is aggressively flushed, there is a risk that the clot may break apart and enter the circulation. This can lead to serious complications such as embolism, where the clot travels through the blood vessels and blocks blood flow to vital organs. It is important to handle clotted cannulas with care to prevent such complications from occurring.
Question 4 of 5
The nurse is conducting a staff in-service on renal ultrasounds. Which statement describes this diagnostic test?
Correct Answer: B
Rationale: Renal ultrasound is a non-invasive imaging technique that uses high-frequency sound waves to produce images of the kidneys and surrounding structures. Unlike computed tomography (CT) scans (Choice A) or intravenous pyelograms (Choice C) which may involve exposure to radiation or contrast medium, renal ultrasounds do not expose the patient to radiation or radioactive isotopes, making it a safe option for imaging the renal system. Ultrasounds are commonly used to assess kidney size, detect kidney stones, evaluate blood flow to the kidneys, and diagnose various renal conditions, such as hydronephrosis or renal cysts.
Question 5 of 5
A nurse is teaching a parent of an infant about treatment of seborrhea dermatitis (cradle cap). Which should the nurse include in the instructions?
Correct Answer: A
Rationale: The nurse should include in the instructions to shampoo every three days with a mild soap. Seborrheic dermatitis, commonly known as cradle cap in infants, is a common condition characterized by greasy, yellowish, scaly patches on the scalp. Mild cases of cradle cap typically do not require aggressive treatment. Using a mild soap and shampooing every few days can help loosen the scales and prevent buildup without causing irritation to the infant's delicate skin. It is important not to shampoo too frequently or use harsh products as this can exacerbate the condition. Additionally, the loosened crusts can be gently massaged and removed after shampooing with a soft brush or cloth, but it is not necessary to use a fine-toothed comb, as this may cause skin irritation.