Which medication is most likely to cause serious respiratory depression as a potential adverse reaction?

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ATI Pediatric Practice Questions Questions

Question 1 of 9

Which medication is most likely to cause serious respiratory depression as a potential adverse reaction?

Correct Answer: A

Rationale: Morphine, as a strong opioid agonist, has the highest likelihood of causing serious respiratory depression due to its potent effects on the central nervous system. While Pentazocine and Hydrocodone can also cause respiratory depression, they are less likely to do so compared to morphine. Nalmefene, an opioid antagonist, is used to reverse respiratory depression caused by opioids rather than causing it.

Question 2 of 9

Radiotherapy is an effective modality of treatment in variable pediatric solid tumors. Of the following, the LEAST responsive tumor to radiotherapy is

Correct Answer: D

Rationale: Osteosarcoma is relatively radioresistant compared to other listed tumors.

Question 3 of 9

A patient who has PUD and is receiving magnesium hydroxide (MOM) is experiencing an increased number of BM. Which is the nurse’s priority action?

Correct Answer: C

Rationale: MOM is a rapid-acting antacid with a prominent adverse effect of diarrhea. To compensate, it usually is administered in combo with aluminum hydroxide which promotes constipation. A reduction in dose might be necessary if the diarrhea is severe, but this is not a priority action. Increasing dietary fiber and keeping a stool count are appropriate actions to implement after adding an antacid to counteract the diarrhea effect.

Question 4 of 9

A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistent asthma. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: The nurse should inform the parent that the child will need pulmonary function tests every 12 to 24 months to assess lung function and response to treatment. These tests help evaluate the presence of lung disease, monitor disease progression, and assess the effectiveness of the current therapeutic regimen in managing asthma.

Question 5 of 9

Although melanoma is relatively rare in children, some risk factors may increase its incidence. All the following are risk factors for development of melanoma EXCEPT

Correct Answer: B

Rationale: Dark-skinned individuals have a lower risk of melanoma.

Question 6 of 9

A 6-year-old child with daytime enuresis complains of dysuria and urgency. What does the nurse recognize these signs and symptoms indicate?

Correct Answer: A

Rationale: The signs and symptoms of dysuria and urgency in a child with daytime enuresis are indicative of a urinary tract infection. These symptoms, including urinary frequency and pain during urination, commonly point towards a UTI. Nephrotic syndrome typically presents with edema, proteinuria, hypoalbuminemia, and hyperlipidemia. Acute glomerulonephritis is characterized by hematuria, proteinuria, hypertension, and oliguria. Vesicoureteral reflux may lead to recurrent UTIs but does not directly present with dysuria and urgency.

Question 7 of 9

During the first two years of life, patients with bronchopulmonary dysplasia requiring rehospitalization are most likely to be diagnosed with:

Correct Answer: D

Rationale: Respiratory tract infections are a common cause of rehospitalization in infants with bronchopulmonary dysplasia due to their compromised lung function.

Question 8 of 9

The healthcare professional is completing the intake and output record for a child admitted for fluid volume deficit. The child has had the following intake and output during the shift: 4 oz of Pedialyte, One-half of an 8-oz cup of clear orange Jell-O, Two graham crackers, 200 mL of D5 1/2 sodium chloride IV. Output: 345 mL of urine, 50 mL of loose stool. How many milliliters should the healthcare professional document as the client's total intake? Give the numerical answer only. Do not include any units of measurement.

Correct Answer: A

Rationale: The total intake is 440 mL (4 oz of Pedialyte = 120 mL, half of an 8 oz Jell-O = 120 mL, and 200 mL of IV fluids). Therefore, the correct answer is 440.

Question 9 of 9

During the first two years of life, patients with bronchopulmonary dysplasia requiring rehospitalization are most likely to be diagnosed with:

Correct Answer: D

Rationale: Respiratory tract infections are a common cause of rehospitalization in infants with bronchopulmonary dysplasia due to their compromised lung function.

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