ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
Which nursing diagnosis takes highest priority for a client with hyperparathyroidism?
Correct Answer: B
Rationale: Among the listed nursing diagnoses, the highest priority for a client with hyperparathyroidism would be addressing the risk for impaired skin integrity. This is because hyperparathyroidism can lead to increased levels of calcium in the blood, which can result in skin issues such as edema (swelling), skin fragility, and poor wound healing. Addressing this risk is crucial to prevent skin breakdown, infections, and other complications associated with compromised skin integrity. Proper wound care, skin protection measures, and monitoring for any skin changes are essential in managing this priority nursing diagnosis for a client with hyperparathyroidism.
Question 2 of 5
Mrs. Tan was prescribed with nitroglycerin. Nurse Amalia teaches her about the common side effect of the drug which includes:
Correct Answer: D
Rationale: Nitroglycerin is commonly known to cause a side effect of throbbing headache. Nitroglycerin works by dilating blood vessels to improve blood flow to the heart, which can sometimes lead to headaches due to the sudden increase in blood flow. This headache is often described as throbbing and can be quite bothersome. It is important for patients taking nitroglycerin to be aware of this common side effect and to consult their healthcare provider if the headaches become severe or persistent.
Question 3 of 5
In giving health instructions, the nurse should infrom the client about the risk fsctors associated with coronary artery disease. Which of the following controllable risk factors is closely linked to the development of MI?
Correct Answer: B
Rationale: High cholesterol levels are closely linked to the development of myocardial infarction (MI), also known as a heart attack. Elevated levels of cholesterol in the blood can lead to the buildup of plaque in the coronary arteries, causing atherosclerosis. This buildup can restrict blood flow to the heart muscle, potentially resulting in a heart attack. Managing and controlling cholesterol levels through lifestyle changes and medications can help reduce the risk of MI.
Question 4 of 5
Emil, just had a thyroidectomy this morning. Upon awakening, he complains of circumoral tingling, has a positive Chvostek's sign and positive Trousseau's sign. Nurse Ofel assesses this to be an indication of:
Correct Answer: A
Rationale: The symptoms Emil is experiencing, such as circumoral tingling, positive Chvostek's sign (facial muscle spasm when the facial nerve is tapped), and positive Trousseau's sign (carpal spasm when a blood pressure cuff is inflated), are characteristic signs of hypocalcemia. Hypocalcemia commonly occurs after thyroidectomy due to inadvertent damage or removal of the parathyroid glands. These glands regulate calcium levels in the body by secreting parathyroid hormone (PTH). Therefore, the symptoms Emil is exhibiting are likely due to the overstimulation of the parathyroid hormone in response to decreased calcium levels after the thyroidectomy. Insufficient iodine intake or overuse of radioactive iodine gland would not be the most likely explanations for his symptoms.
Question 5 of 5
Rodolfo, an 85 year old, is admitted for comtinuous cramping pain as the result of intermittent claudication. When conducting an initial physical assessment, the nurse is unable to palpate the pedal pulses. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: In this scenario, the nurse's first action should be to obtain a Doppler ultrasound device to assess the pedal pulses. If the nurse was unable to palpate the pedal pulses initially, the use of a Doppler can help in accurately identifying the pulses. It is essential to confirm the absence or presence of peripheral pulses before taking any further actions. This will provide crucial information for the physician to determine the appropriate course of treatment. Conducting a Doppler assessment will assist in evaluating the severity of the situation and guide the next steps in the patient's care plan.