ATI RN
FNP Pediatric Practice Questions Questions
Question 1 of 5
What discharge teaching is most important to help the patient who has had a splenectomy prevent infection?
Correct Answer: C
Rationale: Patients who have had a splenectomy are at increased risk for infections, particularly those caused by encapsulated bacteria such as Streptococcus pneumoniae. To prevent these infections, it is essential for these patients to receive vaccines against these bacteria. Vaccines recommended for patients who have had a splenectomy include the pneumococcal vaccine, meningococcal vaccine, and Hib vaccine. These vaccines help boost the body's immunity and provide protection against potentially life-threatening infections. It is important for healthcare providers to educate patients about the importance of receiving these vaccines to prevent infections post-splenectomy.
Question 2 of 5
The adolescent patient has symptoms of meningitis: nuchal rigidity, fever, vomiting, and lethargy. The nurse knows to prepare for the following test:
Correct Answer: D
Rationale: The symptoms described (nuchal rigidity, fever, vomiting, and lethargy) suggest possible meningitis, which is an inflammation of the meninges, the membranes surrounding the brain and spinal cord. One of the key diagnostic tests for meningitis is a lumbar puncture, also known as a spinal tap. During a lumbar puncture, cerebrospinal fluid (CSF) is collected from the space around the spinal cord and analyzed for signs of infection, inflammation, or other abnormalities. This test helps confirm or rule out a diagnosis of meningitis and identify the specific infectious agent causing the illness. Other tests, such as blood cultures, may also be done to further evaluate the infection, but a lumbar puncture is essential for diagnosing meningitis in this case.
Question 3 of 5
Which is usually the only symptom of pediculosis capitis (head lice)?
Correct Answer: A
Rationale: The most common symptom of pediculosis capitis, also known as head lice infestation, is itching of the scalp. Head lice feed on blood from the scalp, leading to irritation and allergic reactions, causing itching. Itching is often more prominent behind the ears and at the nape of the neck where head lice tend to lay their eggs (nits). While secondary symptoms such as scalp rash, vesicles, and localized inflammatory responses can occur due to scratching or allergic reactions, itching is typically the initial and predominant symptom of head lice infestation.
Question 4 of 5
The nurse is teaching a client who will be discharged soon how to change a sterile dressing on the right leg. During the teaching session, the nurse notices redness, swelling and induration at the wound site. What do these signs suggest?
Correct Answer: A
Rationale: The presence of redness, swelling, and induration at the wound site are classic signs of infection. Redness is caused by inflammation, swelling occurs due to fluid accumulation in response to infection, and induration refers to the hardening of the tissue, which is a result of the body's immune response. Infections can lead to delayed wound healing, increased pain, and other complications. It is essential to address these signs promptly to prevent further complications and promote healing.
Question 5 of 5
A 57-year old patient had a right lower lobectomy. The nurse should initiate this action when the patient arrives from the Post Anesthesia Care Unit:
Correct Answer: B
Rationale: After a right lower lobectomy, it is important to keep the patient in a semi-Fowler's position to promote lung expansion and oxygenation. This position helps to reduce pressure on the diaphragm and allows for better lung ventilation. By maintaining the patient in a semi-Fowler's position, it can help prevent complications such as atelectasis and pneumonia postoperatively. It is a crucial nursing intervention to ensure optimal respiratory function and promote recovery after lung surgery.