ATI RN
FNP Pediatric Practice Questions Questions
Question 1 of 5
Which of the ff should the nurse include in the teaching plan of a client with acute bronchitis?
Correct Answer: B
Rationale: In acute bronchitis, the highest priority in the teaching plan should focus on preventing the spread of infection. Washing hands frequently can help reduce the risk of spreading the infection to others or introducing new germs that could worsen the client's condition. Proper hand hygiene is one of the most important ways to prevent the transmission of respiratory infections, like bronchitis, by reducing the number of pathogens on the hands. This measure is important not only for the client's well-being but also for the health of those in close contact with the client.
Question 2 of 5
The MOST common cause of obstructive sleep apnea in children is
Correct Answer: C
Rationale: Adenotonsillar hypertrophy is the leading cause of obstructive sleep apnea in children.
Question 3 of 5
A client has been diagnosed with type 1 diabetes mellitus. When teaching the client and family how diet and exercise affect insulin requirements, the nurse should include which guideline?
Correct Answer: B
Rationale: When a client with type 1 diabetes mellitus exercises or reduces their food intake, it can lead to a decrease in blood glucose levels. This is because the body is using up glucose for energy during exercise or receiving less glucose from food intake. As a result, the client would require less insulin to manage their blood glucose levels, since there is less glucose present in the bloodstream that needs to be regulated. It is important for the client and family to understand this relationship between diet, exercise, and insulin requirements to effectively manage the client's diabetes.
Question 4 of 5
A client with idiopathic thrombocytopenic purpura (ITP), an autoimmune disorder, is admitted to an acute care facility. Concerned about hemorrhage, the nurse monitors the client's platelet count and observes closely for signs and symptoms of bleeding. The client is at greatest risk for cerebral hemorrhage when the platelet count falls below:
Correct Answer: B
Rationale: In a client with idiopathic thrombocytopenic purpura (ITP), a platelet count falling below 20,000/ul puts them at the greatest risk for cerebral hemorrhage. This is because the risk of spontaneous bleeding, especially in critical areas like the brain, significantly increases as platelet counts drop below this level. The brain is a sensitive organ, and even minor bleeds can have serious consequences. Therefore, it is crucial for healthcare providers to closely monitor platelet counts and promptly intervene to prevent life-threatening hemorrhage in clients with ITP.
Question 5 of 5
A patient asks the nurse what side effects to expect from a muscle relaxant medication that has been prescribed. Which of the ff. side effects should the nurse relate?
Correct Answer: B
Rationale: Muscle relaxant medications, such as benzodiazepines or cyclobenzaprine, commonly cause drowsiness as a side effect. This is a result of the medications affecting the central nervous system, leading to sedative effects. Patients taking muscle relaxants should be advised to avoid activities that require alertness, such as driving or operating machinery, until they understand how the medication affects them. It is important for the nurse to inform the patient about this potential side effect to ensure their safety and to prevent any accidents or injuries due to drowsiness. On the other hand, hypoglycemia, hypotension, and dyspnea are not common side effects of muscle relaxant medications.