ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
which of the following best describes acute glomerulonephritis?
Correct Answer: B
Rationale: Acute glomerulonephritis is an inflammatory kidney disease that typically follows a streptococcal infection, such as strep throat or skin infection caused by group A beta-hemolytic streptococcus. The infection triggers the body's immune response, leading to the deposition of immune complexes in the glomeruli of the kidneys. This results in inflammation, damage to the glomeruli, and impaired kidney function. Symptoms of acute glomerulonephritis may include hematuria (blood in the urine), proteinuria (protein in the urine), edema, hypertension, and decreased urine output. It is important to diagnose and manage acute glomerulonephritis promptly to prevent complications and promote recovery. Other answer choices do not accurately describe the typical etiology or presentation of acute glomerulonephritis.
Question 2 of 5
Which statement best represents the first stage of the first period of reactivity in the newborn?
Correct Answer: A
Rationale: The first stage of the first period of reactivity in the newborn begins when the newborn awakes from a deep sleep. This stage is characterized by increased muscle tone, alertness, and interest in the environment. It typically starts about 30 minutes after birth and can last up to 2 hours. During this stage, the newborn may be restless, have an increased heart rate, and show increased vocalization. It is an important time for bonding and initial interactions with the parents, as the newborn is most alert and responsive during this period.
Question 3 of 5
A new mother wants to be discharged with her newborn as soon as possible. What should be done prior to discharge?
Correct Answer: D
Rationale: Prior to discharge from the hospital, it is important that a new mother makes an appointment for home care or a primary care practitioner office visit within the next 2 or 3 days for the newborn. This ensures that the newborn will receive necessary follow-up care, monitoring, and evaluation after leaving the hospital. It is crucial for the newborn's health and well-being to have timely postnatal check-ups to address any concerns or issues that may arise in the early days after birth. This follow-up care also allows healthcare providers to assess the newborn's growth, feeding, and overall health progression.
Question 4 of 5
Parents tell the nurse that their child keeps scratching the areas where he has poison ivy. The nurse's response should be based on which knowledge?
Correct Answer: D
Rationale: Scratching the lesions caused by poison ivy may result in them becoming secondarily infected. It is important to advise against scratching the affected areas to prevent the introduction of bacteria from under the fingernails or through broken skin, which can lead to infection. This can complicate the initial skin irritation caused by the poison ivy rash. Encouraging the child to avoid scratching and keeping the affected areas clean can help prevent secondary infections and promote healing.
Question 5 of 5
A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain?
Correct Answer: D
Rationale: The nurse should explain to the mother that a topical anesthetic, such as EMLA cream, can be applied before the infant receives injections to help minimize discomfort. This option addresses the mother's concern about injection-related discomfort while still prioritizing the importance of immunizations for the infant's health. It provides a practical solution that allows the infant to receive the necessary vaccines without experiencing excessive pain or discomfort.