ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 5
Which of the ff. would the nurse explain to the patient is indicated by a Snellen chart finding 20/80?
Correct Answer: A
Rationale: The Snellen chart is a chart used to measure visual acuity. The numbers in a Snellen fraction indicate the distance from which a person with normal eyesight can see the letters on the chart. In the case of 20/80, this means that the person can see at 80 feet what a person with normal eyesight can see at 20 feet. So, option A is correct as it accurately explains what is indicated by a Snellen chart finding of 20/80.
Question 2 of 5
The nurse is aware that the most common assessment finding in a child with ulcerative colitis is:
Correct Answer: B
Rationale: Profuse diarrhea is the most common assessment finding in a child with ulcerative colitis. Ulcerative colitis is a type of inflammatory bowel disease that primarily affects the colon and rectum. It causes inflammation and ulcers in the lining of the colon, leading to symptoms such as frequent and urgent bowel movements, abdominal pain, and bloody diarrhea. The diarrhea in ulcerative colitis is typically watery and can be very severe, often leading to dehydration and electrolyte imbalances. Intense abdominal cramps, anal fissures, and abdominal distention can also be present in ulcerative colitis, but profuse diarrhea is the hallmark symptom that is commonly seen in affected children.
Question 3 of 5
A 19-year-old student develops symptoms of respiratory alkalosis related to an anxiety attack. Which nursing intervention is appropriate?
Correct Answer: B
Rationale: The appropriate nursing intervention for a 19-year-old student experiencing symptoms of respiratory alkalosis related to an anxiety attack is to have him breathe into a paper bag. Breathing into a paper bag can help increase the level of carbon dioxide in the body, which can help correct respiratory alkalosis. This technique helps to rebalance the level of carbon dioxide in the blood and alleviate the symptoms of alkalosis caused by hyperventilation during the anxiety attack. It is important to monitor the student's condition and ensure that he is using the paper bag correctly to avoid any potential risks associated with this intervention. Additionally, providing reassurance and support during this episode can also be beneficial in helping the student to manage his anxiety and respiratory alkalosis.
Question 4 of 5
For the first 72 hours thyroidectomy surgery, the nurse would assess the client for Chvostek's sign and Trousseau's sign because they indicate which of the following?
Correct Answer: A
Rationale: Chvostek's sign and Trousseau's sign are both clinical manifestations of hypocalcemia, which is a common complication following thyroidectomy surgery.
Question 5 of 5
Which of the following assessment findings would suggest to the home health nurse that the patient is developing congestive heart failure?
Correct Answer: A
Rationale: Orthopnea is a common symptom of congestive heart failure. It is defined as difficulty in breathing when lying flat, which improves when sitting up or standing. This occurs due to the redistribution of blood in the body when changing positions. As fluid accumulates in the lungs in congestive heart failure, lying down increases pressure on the chest and impairs breathing. Therefore, orthopnea is a significant assessment finding that would suggest to the home health nurse that the patient is developing congestive heart failure. Fever, weight loss, and calf pain are not typically associated with congestive heart failure.