ATI RN
FNP Pediatric Practice Questions Questions
Question 1 of 5
When caring for the child with Kawasaki disease, the nurse should know which information?
Correct Answer: D
Rationale: Kawasaki disease is an acute febrile illness that primarily affects children. The therapeutic management of Kawasaki disease includes the administration of gamma globulin and aspirin. Intravenous immunoglobulin (IVIG) or gamma globulin is given as a single dose to reduce the risk of coronary artery abnormalities, while aspirin is used for its anti-inflammatory effects. It is important to note that aspirin should not be given to children with viral infections due to the risk of Reye syndrome. Therefore, option D is the correct choice in this case.
Question 2 of 5
A client is undergoing peritoneal dialysis. Which of the ff is a major complication of the procedure that the nurse should monitor for?
Correct Answer: D
Rationale: Peritonitis is a major complication of peritoneal dialysis that the nurse should monitor for. Peritonitis is an infection of the peritoneum, the membrane that lines the abdominal cavity and covers the abdominal organs. It can occur when bacteria from the dialysis solution enter the peritoneal cavity. Symptoms of peritonitis may include abdominal pain, cloudy dialysis effluent, fever, and general signs of infection. Prompt recognition and treatment of peritonitis are crucial to prevent complications such as sepsis and peritoneal membrane damage. Regular monitoring and strict aseptic technique during peritoneal dialysis can help reduce the risk of peritonitis.
Question 3 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 4 of 5
Biopsy is not usually performed for a child with suspicion of Wilms tumor EXCEPT
Correct Answer: D
Rationale: Presence of intratumoral calcifications may warrant biopsy to rule out other diagnoses.
Question 5 of 5
When teaching a client about insulin administration, the nurse should include which instruction?
Correct Answer: D
Rationale: When mixing two types of insulin in one syringe, it is essential to draw up the clear insulin first before drawing up the cloudy insulin. This sequence prevents the clear insulin from becoming contaminated with the cloudy insulin and ensures accurate dosing. Drawing up the clear insulin first helps to minimize the risk of inaccurate dosing and maintains the effectiveness of the insulin being administered.