ATI RN
Essential of Pediatric Nursing Test Bank Questions
Question 1 of 5
Which of the ff should qualify as an abnormal result in a Romberg test?
Correct Answer: B
Rationale: During a Romberg test, the individual is asked to stand with feet together, arms at sides, and eyes closed. The tester then observes for swaying, losing balance, or arm drifting, which are signs of a positive Romberg test, indicating a potential issue with proprioception or vestibular function. Hypotension (choice A) refers to low blood pressure and is not directly assessed during a Romberg test. Sneezing and wheezing (choice C) are unrelated symptoms. Excessive cerumen in the outer ear (choice D) does not affect the results of a Romberg test focused on balance and proprioception.
Question 2 of 5
Laboratory studies indicate a client's blood pressure level is 185mg/dl. Two hours have passed since the client ate breakfast. Which test would yield the most occlusive diagnostic information about the client's glucose utilization?
Correct Answer: C
Rationale: A 6-hour glucose tolerance test would yield the most occlusive diagnostic information about the client's glucose utilization in this case. The elevated blood pressure level of 185 mg/dL two hours after breakfast indicates poor glucose regulation. A glucose tolerance test involves monitoring the client's blood glucose levels over a period of time after ingesting a glucose solution. This test provides a comprehensive assessment of how the body processes glucose, revealing any abnormalities in glucose metabolism beyond fasting levels, such as postprandial (after-meal) glucose spikes and prolonged hyperglycemia. This can help identify conditions like insulin resistance, impaired glucose tolerance, or diabetes, which may not be evident from a fasting blood glucose test alone. Glycosylated hemoglobin (HbA1c) reflects average blood sugar levels over the past 2-3 months and would not provide immediate information about the client's current glucose metabolism. Urine ketones
Question 3 of 5
The nurse is instructing a client with newly diagnosed hypoparathyroidism about the regimen used to treat this disorder. The nurse should state that the physician probably will prescribe daily supplements of calcium and:
Correct Answer: C
Rationale: In the management of hypoparathyroidism, along with the supplementation of calcium, a physician will often prescribe vitamin D. This is because vitamin D plays a crucial role in regulating the absorption of calcium in the intestines. A deficiency in vitamin D can lead to decreased calcium absorption, which can worsen the symptoms of hypoparathyroidism. Therefore, supplementing with vitamin D along with calcium helps to maintain proper calcium levels in the body, which is essential for various physiological functions.
Question 4 of 5
A home care nurse is assessing a client who is taking prazosin (Minipress). Which statement by the client would support the nursing diagnosis of noncompliance with medication therapy?
Correct Answer: C
Rationale: The statement by the client, "I feel dizzy, I'll skip my dose for a few days," supports the nursing diagnosis of noncompliance with medication therapy. Prazosin is typically prescribed for conditions such as hypertension or benign prostatic hyperplasia, and abruptly stopping the medication can lead to negative consequences such as rebound hypertension. The client's decision to skip doses due to feeling dizzy indicates noncompliance with the prescribed medication regimen, which can pose risks to their health. It is essential for healthcare providers to educate the client on the importance of consistent medication adherence and to address any concerns or side effects promptly.
Question 5 of 5
Nurse Nancy also gives a lecture at the community health center about the diet for patients with ulcerative colitis. Which one is appropriate?
Correct Answer: C
Rationale: Patients with ulcerative colitis usually benefit from a high protein, low residue diet. A high protein diet helps promote tissue healing and repair. Low residue foods are preferred to reduce mechanical irritation to the inflamed colon. This combination can help manage symptoms and promote overall gut health for individuals with ulcerative colitis. High calorie, low protein (Option A) may not provide adequate nutrient density and healing support. Low fat, high fiber (Option B) may exacerbate symptoms and increase gastrointestinal discomfort. Low sodium, high carbohydrate (Option D) may not address the specific needs of patients with ulcerative colitis.