ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 of 5
What type of breath sound is normally heard over the entire surface of the lungs except for the upper intrascapular area and the area beneath the manubrium?
Correct Answer: A
Rationale: Vesicular breath sounds are normal, low-pitched sounds heard over the majority of the lung surface. They are usually soft and rustling with a longer inspiratory phase than expiratory phase. Vesicular breath sounds are produced by air moving through smaller bronchioles and alveoli. These sounds can be heard over the entire lung surface except for the upper intrascapular area and the area beneath the manubrium, where bronchovesicular breath sounds are typically heard.
Question 2 of 5
A client agreed to become an organ donor is pronounced dead. What is the most important factor in selecting a transplant recipient?
Correct Answer: B
Rationale: The most important factor in selecting a transplant recipient for an organ that has been donated by a deceased donor is ensuring compatibility in terms of blood and tissue types. Matching these factors between the donor and recipient minimizes the risk of rejection and increases the likelihood of a successful transplant. Compatibility ensures that the recipient's body is less likely to identify the transplanted organ as foreign and mount an immune response against it. Blood relationship, sex, and size are important factors to consider but they are secondary to compatibility in terms of blood and tissue types when it comes to organ transplantation. Ultimately, the goal is to have the best chance of a successful transplant by ensuring a good match between the donor organ and the recipient.
Question 3 of 5
A nurse prepares to administer a vitamin K injection to a newborn infant. The mother asks the nurse why her newborn infant needs the injection. The best response by the nurse would be:
Correct Answer: C
Rationale: The correct response by the nurse is C. Newborn infants are born with low levels of vitamin K because they do not have enough of the gut bacteria necessary to produce it. Vitamin K plays a crucial role in blood clotting, and without enough of it, newborns are at risk of a bleeding disorder called vitamin K deficiency bleeding (VKDB). The vitamin K injection given to newborns helps prevent this disorder by providing them with the necessary vitamin K to ensure proper blood clotting. It is important for the mother to understand that this injection is essential for her infant's health and well-being to prevent complications related to vitamin K deficiency.
Question 4 of 5
60 year-old Mrs. Torres arrived just in time for her doctor's appointment. She complains of pain and stiffness in her back. She is suspected of having osteoporosis. Nurse Ariane will inform Mrs. Torres that the primary complication of osteoporosis is:
Correct Answer: D
Rationale: The primary complication of osteoporosis is fractures. Osteoporosis is a condition characterized by low bone mass and deterioration of bone tissue, leading to increased bone fragility and susceptibility to fractures. Fractures, especially in the spine, hip, and wrist, are common complications of osteoporosis and can significantly impact an individual's quality of life. Patients with osteoporosis are at an increased risk of fractures from minor trauma or even during normal daily activities. Therefore, preventing fractures is a key focus in the management of osteoporosis to minimize pain, disability, and complications associated with bone fractures.
Question 5 of 5
After the introduction of the Back to Sleep campaign in 1992, an increased incidence has been noted of which of the following pediatric disorders? (Select all that apply.)
Correct Answer: B
Rationale: After the introduction of the Back to Sleep campaign in 1992, which encouraged placing infants on their backs to sleep to reduce the risk of Sudden Infant Death Syndrome (SIDS), an increased incidence has been noted of Torticollis (B) and Plagiocephaly (E).