ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
When a preschool child is hospitalized without adequate preparation, how does the child often react to the hospitalization?
Correct Answer: C
Rationale: When a preschool child is hospitalized without adequate preparation, they may often react to the hospitalization by regressing. This means that the child may revert back to behaviors that they had previously outgrown, such as bedwetting or wanting a bottle. Hospitalization can be a stressful and overwhelming experience for young children, causing them to seek comfort in familiar behaviors from earlier stages of development. This regression can provide a sense of security and control during a time of uncertainty and unfamiliar circumstances. It is important for parents, caregivers, and healthcare providers to be aware of this potential reaction and provide appropriate support and reassurance to help the child cope with the hospitalization.
Question 2 of 5
What is the best description of anorexia nervosa?
Correct Answer: D
Rationale: Anorexia nervosa is a serious eating disorder characterized by a persistent restriction of food intake, leading to significantly low body weight. Individuals with anorexia have an intense fear of gaining weight or becoming fat, despite being underweight. The disorder results in severe weight loss due to excessive dieting, exercising, or other behaviors to control weight. It is not caused by a posterior pituitary disorder, nor is it limited to a specific gender or socioeconomic group.
Question 3 of 5
An adolescent has been diagnosed with Chlamydia infection. Which medication should the nurse expect to be prescribed for this condition?
Correct Answer: B
Rationale: Chlamydia infection is commonly treated with antibiotics, such as azithromycin or doxycycline. Azithromycin is often preferred due to its convenience of a single oral dose. It is effective in treating Chlamydia infections in both adolescents and adults. Ceftriaxone, penicillin G benzathine, and acyclovir are used to treat different types of infections and are not appropriate choices for Chlamydia infection.
Question 4 of 5
A child is admitted with acute glomerulonephritis. What should the nurse expect the urinalysis to show during the acute phase?
Correct Answer: B
Rationale: The nurse should expect the urinalysis to show hematuria (blood in the urine) and proteinuria (excess protein in the urine) during the acute phase of glomerulonephritis. Hematuria is a common finding due to the inflammation and damage to the glomeruli, which allows red blood cells to leak into the urine. Proteinuria occurs because the damaged glomeruli are unable to effectively filter out proteins, leading to their presence in the urine. Bacteriuria and increased specific gravity are not typically associated with acute glomerulonephritis.
Question 5 of 5
A school-age child with chronic renal failure is admitted to the hospital with a serum potassium level of 5.2 mEq/L. Which prescribed medication should the nurse plan to administer?
Correct Answer: B
Rationale: A serum potassium level of 5.2 mEq/L indicates hyperkalemia, which can be dangerous for a child with chronic renal failure. Sodium polystyrene sulfonate (Kayexalate) is a medication commonly used to treat hyperkalemia by exchanging sodium ions for potassium ions in the intestine, promoting the elimination of excess potassium through the gastrointestinal tract. This helps lower the serum potassium levels and prevent complications associated with hyperkalemia. Spironolactone (Aldactone) is a potassium-sparing diuretic and should be avoided in a child with hyperkalemia. Lactulose (Cephulac) is a laxative and does not directly address high potassium levels. Calcium carbonate (Calcitab) is a calcium supplement and is not indicated for managing hyperkalemia.