ATI RN
Essential of Pediatric Nursing Test Bank Questions
Question 1 of 9
When administering oxygen to a client, under which of the ff situations should the nurse discontinue the administration and notify the physician?
Correct Answer: C
Rationale: When a client is in a state of respiratory arrest, it means their breathing has stopped. This is a life-threatening emergency situation that requires immediate action. The nurse should discontinue administering oxygen and promptly notify the physician for further intervention, such as initiating CPR or advanced airway management. Prompt recognition and timely response to respiratory arrest are crucial in saving the client's life.
Question 2 of 9
Which of the following is a discharge criterion from the PACU for a patient following surgery?
Correct Answer: A
Rationale: Oxygen saturation above 90% is a discharge criterion from the PACU (Post-Anesthesia Care Unit) for a patient following surgery. This indicates that the patient is effectively exchanging oxygen and carbon dioxide, which is essential for proper respiratory function. Adequate oxygenation is crucial for the patient to be safely discharged from the PACU and transitioned to a regular hospital room or home. Monitoring oxygen saturation helps ensure that the patient's respiratory status is stable before leaving the PACU. If a patient's oxygen saturation is below 90%, further assessment and interventions may be necessary before discharge is considered.
Question 3 of 9
An adult has and IV line in the right forearm infusing D5 ½ NS with 20 mEq of potassium at 75 ml/h. which statement would be a correct report from the RN?
Correct Answer: A
Rationale: The correct report from the RN in this situation would be option A. This report accurately describes the situation by mentioning that the potassium bag is piggybacked into the dextrose at 75 ml/h, stating that the clamp should be closed below the D5 ½ NS bag, and clarifying that potassium is on the secondary line. Additionally, the statement that 75 ml will infuse in one hour is also correct based on the infusion rate provided in the question. Therefore, option A is the most appropriate and accurate report to provide in this scenario.
Question 4 of 9
The nurse is preparing a client for magnetic resonance imaging (MRI) to confirm or rule out a spinal cord lesion. During the MRI scan, which of the following would pose a threat to the client?
Correct Answer: B
Rationale: The client wearing a watch and wedding band would pose a threat during the MRI scan. MRI machines use strong magnetic fields that can interact with metal objects. The presence of metal objects such as a watch and wedding band can lead to serious safety risks for the client inside the MRI machine. These metal objects can become projectiles or heat up, causing burns or other injuries. Thus, it is crucial for the client to remove all metal objects before undergoing an MRI scan to ensure their safety.
Question 5 of 9
The presence of anemia is characterized by a/an:
Correct Answer: C
Rationale: Anemia is a condition characterized by a decrease in the concentration of red blood cells in the blood. This can result from various factors such as decreased production of red blood cells, increased destruction of red blood cells, or blood loss. Hemoglobin levels are often used to diagnose anemia, but the key feature of anemia is the decrease in the number of red blood cells, leading to reduced oxygen-carrying capacity in the blood. This in turn can lead to symptoms such as fatigue, weakness, and shortness of breath.
Question 6 of 9
What is the earliest age at which a satisfactory radial pulse can be taken in children?
Correct Answer: A
Rationale: A satisfactory radial pulse can be taken in children as young as 1 year old. The radial pulse is commonly checked in the wrist and is a valuable indicator of cardiac function. Children as young as 1 year old can have a palpable radial pulse, allowing healthcare providers to assess their heart rate and rhythm. It is important to be gentle when palpating a pulse in young children to avoid causing discomfort or distress.
Question 7 of 9
Which of the ff actions should the nurse perform before a client with impaired physical mobility gets up?
Correct Answer: A
Rationale: Before a client with impaired physical mobility gets up, the nurse should ensure that the appropriate assistive device is available and properly set up for the client to use. Using parallel bars or a walker provides support and stability, helping the client maintain balance and prevent falls while standing and walking. This would be the most suitable action to take before assisting the client in getting up to ensure their safety and mobility. Applying incontinence pads, an abdominal binder, or using a footboard are not directly related to the immediate need of assisting the client with impaired physical mobility in getting up.
Question 8 of 9
The age of a child who can imitate construction of gate with 2-4 parts; draws longer lines; and draws a man with 5 cubes is
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 9 of 9
The nurse is using the FLACC scale to rate the pain level in a 9-month-old. Which is the nurse's best response to the father's question of what the FLACC scale is?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.