ATI RN
Essential of Pediatric Nursing Test Bank Questions
Question 1 of 5
Which defect results in increased pulmonary blood flow?
Correct Answer: C
Rationale: Atrial septal defect (ASD) is a congenital heart defect where there is an abnormal opening in the atrial septum, leading to a left-to-right shunt of blood. This shunt causes increased pulmonary blood flow, as oxygenated blood from the left atrium is shunted back into the right atrium and then into the pulmonary circulation. Over time, this increased pulmonary blood flow can lead to pulmonary hypertension and potentially Eisenmenger syndrome if left untreated. Pulmonic stenosis, tricuspid atresia, and transposition of the great arteries all typically result in decreased pulmonary blood flow rather than increased pulmonary blood flow.
Question 2 of 5
Which clinical manifestation should the nurse expect to see as shock progresses in a child and becomes decompensated shock? (Select all that apply.)
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A 28 y.o man is diagnosed with acute epididymitis. Which of the ff. symptoms supports this diagnosis?
Correct Answer: B
Rationale: Acute epididymitis is inflammation of the epididymis, a coiled tube located behind the testicles that stores and carries sperm. The most common symptom of acute epididymitis is severe tenderness and swelling in the scrotum, typically on one side. Other symptoms may include redness, warmth, and pain in the affected testicle. While symptoms such as burning and pain on urination may be present in other conditions like urinary tract infections, the presence of severe tenderness and swelling in the scrotum is more indicative of acute epididymitis. The foul-smelling ejaculate and severe scrotal swelling are not typical symptoms of acute epididymitis.
Question 4 of 5
The nurse is instructed to perform preoperative preparation for the management of a client with malignant tumors. Which of the ff is the most important factor of the nursing management plan?
Correct Answer: B
Rationale: Peritonitis is a serious and potentially life-threatening condition that can occur as a complication of malignant tumors. It is characterized by inflammation of the lining of the abdomen and can result in severe abdominal pain, tenderness, fever, and other symptoms. Prompt assessment of peritonitis symptoms is crucial for early detection and intervention to prevent further complications and improve patient outcomes. Assessing for peritonitis symptoms should be the priority in the nursing management plan to ensure timely and appropriate care for the client with malignant tumors.
Question 5 of 5
To return a patient with hyponatremia to normal sodium levels, it is safer to restrict fluid intake than to administer sodium:
Correct Answer: C
Rationale: It is safer to restrict fluid intake rather than administer sodium to return a patient with hyponatremia to normal sodium levels to prevent fluid overload symptoms. Restoring normal sodium levels in patients with hyponatremia requires caution to prevent rapid correction which can lead to osmotic demyelination syndrome. By restricting fluid intake, the dilutional effect on sodium levels can be reduced, aiding in a safer and more controlled correction of hyponatremia without causing fluid overload. Administering sodium can lead to rapid changes in sodium levels, increasing the risk of complications.