ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
Which is not true concerning allergic reactions to foods?
Correct Answer: B
Rationale: Rashes and diarrhea after fruit juice ingestion are often non-immunologic, related to acidity or other factors.
Question 2 of 5
Mid diastolic rumble murmur at the lower left sternal border may be heard in the following structural heart disease:
Correct Answer: D
Rationale: A mid-diastolic rumble at the lower left sternal border is characteristic of a large atrial septal defect (ASD) due to increased flow across the tricuspid valve.
Question 3 of 5
A clinical feature that distinguishes a hypoglycemic reaction from a ketoacidosis reaction is:
Correct Answer: B
Rationale: Diaphoresis, which refers to excessive sweating, is a common clinical feature seen in a hypoglycemic reaction. Hypoglycemia occurs when the blood sugar level drops too low, leading to symptoms like sweating, shakiness, confusion, and rapid heartbeat. On the other hand, ketoacidosis is a serious complication of diabetes that occurs when there is a lack of insulin, causing high blood sugar levels and the body to break down fat for energy. Symptoms of ketoacidosis include nausea, vomiting, abdominal pain, and fruity-smelling breath, but diaphoresis is not typically a prominent feature. Therefore, diaphoresis can help clinicians differentiate between hypoglycemic and ketoacidosis reactions.
Question 4 of 5
The nurse is preparing to assist the physician with a bone marrow biopsy. Which of the ff. interventions is most important for the nurse to do before the procedure?
Correct Answer: B
Rationale: Before a bone marrow biopsy procedure, it is most important for the nurse to observe the patient for any signs of bleeding. This includes assessing the patient's coagulation status, looking for any bleeding disorders, and checking the patient's platelet levels. By monitoring for bleeding tendencies before the procedure, the nurse can ensure that the patient is in a stable condition to undergo the bone marrow biopsy safely. Additionally, post-procedure monitoring for bleeding is crucial to prevent complications such as hematoma formation. Explaining the procedure to the family, administering an analgesic, and draping the biopsy site are important steps, but ensuring the patient's safety by assessing for bleeding is the highest priority.
Question 5 of 5
In a 28-year-old female client who is being successfully treated for Cushing syndrome, the nurse would expect a decline in:
Correct Answer: D
Rationale: In a 28-year-old female client who is being successfully treated for Cushing syndrome, a decline in menstrual flow would be expected due to the normalization of the hormonal imbalances associated with Cushing syndrome. Cushing syndrome can lead to elevated levels of cortisol, which can disrupt the normal menstrual cycle by affecting the production of reproductive hormones. As treatment successfully addresses the underlying cause of the hormonal imbalance, such as surgery to remove the source of excessive cortisol production or medication to control cortisol levels, the menstrual cycle is likely to return to normal, resulting in a decline in menstrual flow. This improvement in menstrual regularity is a positive indicator of successful treatment for Cushing syndrome in female clients.