ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
Which of the following is an appropriate nursing intervention to prevent infection in patients with AIDS?
Correct Answer: C
Rationale: The correct nursing intervention to prevent infection in patients with AIDS is to wear protective gear such as gown, mask, gloves, and goggles when entering the patient's room. Patients with AIDS have compromised immune systems, making them more susceptible to infections. Wearing protective gear helps prevent the transmission of pathogens from healthcare providers to the patient and vice versa. It helps minimize the risk of exposure to infectious agents and protects both the patient and the healthcare team. Prohibiting visitors with a cough (option B) may be important for preventing the spread of certain infections, but it is not the most effective measure for protecting patients with AIDS. Option A is not appropriate as it isolates the patient, which can have negative psychological effects. Option D is not specific enough and does not provide clear guidance on infection prevention measures.
Question 2 of 5
After receiving a dose of penicillin, a client develops dyspnea and hypotension. The nurse suspects the client is experiencing anaphylactic shock. What should the nurse do first?
Correct Answer: B
Rationale: When a client exhibits symptoms of anaphylactic shock after receiving penicillin, the priority nursing intervention is to administer epinephrine, as prescribed, to counteract the severe allergic reaction. Epinephrine helps to improve breathing and increase blood pressure. Intubation may be necessary in severe cases to maintain airway patency. Therefore, the nurse should administer epinephrine first before considering intubation. It is crucial to act swiftly to prevent further deterioration in the client's condition.
Question 3 of 5
A client is diagnosed with rheumatoid arthritis, an autoimmune disorder. When teaching the client and family about autoimmune disorders, the nurse should provide which information?
Correct Answer: C
Rationale: Autoimmune disorders include connective tissue (collagen) disorders. Connective tissue disorders, such as rheumatoid arthritis, systemic lupus erythematosus, and scleroderma, are a type of autoimmune disorder. In these conditions, the body's immune system mistakenly attacks its own tissues, including the connective tissues. Therefore, it is important for the client and family to understand that connective tissue disorders fall under the category of autoimmune disorders. This knowledge can help them better understand the nature of the disease and how it affects the body.
Question 4 of 5
Which iron-rich foods should the nurse encourage an anemic client requiring iron therapy to eat?
Correct Answer: D
Rationale: Both lamb and peaches are rich sources of iron. Lamb is a type of red meat that is high in heme iron, which is a form of iron that is easily absorbed by the body. Peaches, on the other hand, are a fruit that contains non-heme iron, which is not as easily absorbed but can still contribute to increasing iron levels in the body. Including these iron-rich foods in the diet of an anemic client can help improve their iron levels and overall health.
Question 5 of 5
Aisa is to receive a liquid iron preparation. Which of the following directions would be appropriate for the nurse to teach Aisa's mother? a.Administer this at least an hour before meals
Correct Answer: C
Rationale: Avoid giving Aisa orange or other citric juices with the iron preparation. Citric juices, such as orange juice, can decrease the absorption of iron in the body. Therefore, it is important to avoid giving these juices when administering the liquid iron preparation to Aisa to ensure optimal absorption of the iron. It would be best to encourage the use of non-citric juices or water when administering the iron preparation to Aisa.