ATI RN
Essential of Pediatric Nursing Test Bank Questions
Question 1 of 5
Which is the primary treatment for hypoglycemia in newborns with feeding intolerance?
Correct Answer: B
Rationale: Newborns with hypoglycemia and feeding intolerance typically require immediate treatment to rapidly raise their blood glucose levels. In such cases, the primary treatment is intravenous (IV) infusion of glucose because it provides a quick and direct source of glucose for the baby's body. IV glucose administration bypasses the need for digestion, making it the most effective way to increase blood sugar levels rapidly in newborns with feeding intolerance and hypoglycemia. It is crucial to monitor the baby's blood glucose levels closely during IV glucose infusion to ensure proper management.
Question 2 of 5
As the nurse collects data on a patient, which of the following is a symptom that may be found that the patient with anaphylaxis may be experiencing?
Correct Answer: D
Rationale: Wheezing is a common symptom of anaphylaxis, along with other signs such as difficulty breathing, chest tightness, coughing, and throat swelling. Wheezing is caused by the constriction of the airways due to the body's extreme immune response to the allergen, leading to difficulty in breathing and wheezing sounds during respiration. It is important for healthcare professionals to recognize wheezing as a symptom of anaphylaxis and respond promptly with appropriate interventions, such as administering epinephrine and providing respiratory support.
Question 3 of 5
The nurse has taught a patient with thrombocytopenia how to prevent bleeding. Which of the ff. is the best evidence that the teaching has been effective?
Correct Answer: C
Rationale: The best evidence that the teaching has been effective is when the patient uses an electric razor instead of his safety razor. This action demonstrates understanding and application of the teaching to prevent bleeding in a practical way. By choosing the electric razor, the patient is actively taking steps to minimize the risk of injury and bleeding due to thrombocytopenia. This concrete behavior indicates that the patient has internalized the instructions provided by the nurse and is implementing them to protect his health.
Question 4 of 5
Which chromosomal abnormality is often characteristic of infantile ALL?
Correct Answer: A
Rationale: The t(4;11) translocation is commonly found in infantile ALL and is associated with a poor prognosis.
Question 5 of 5
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.