ATI RN
FNP Pediatric Practice Questions Questions
Question 1 of 5
Which of the following is not a criterion for a valid informed consent that a nurse should identify?
Correct Answer: B
Rationale: Coercion should not be involved in obtaining informed consent as it undermines the voluntary nature of the decision-making process. Informed consent should be freely given by the patient without any form of pressure or manipulation. The other criteria for valid informed consent that a nurse should identify include that it is freely given, includes an explanation of procedures, and describes the alternatives available to the patient.
Question 2 of 5
When teaching a client about insulin administration, the nurse should include which instruction?
Correct Answer: D
Rationale: When mixing two types of insulin in one syringe, it is essential to draw up the clear insulin first before drawing up the cloudy insulin. This sequence prevents the clear insulin from becoming contaminated with the cloudy insulin and ensures accurate dosing. Drawing up the clear insulin first helps to minimize the risk of inaccurate dosing and maintains the effectiveness of the insulin being administered.
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 seizure characterized by loss of consciousness and tonic spasms of the trunk and extremities rapidly followed by repetitive generalized clonic jerking is classified as:
Correct Answer: C
Rationale: The description provided aligns with the characteristics of a generalized seizure. Generalized seizures involve abnormal electrical activity in the entire brain, leading to loss of consciousness and widespread motor symptoms, such as tonic (stiffening) and clonic (jerking) movements affecting both sides of the body. Examples of generalized seizures include tonic-clonic seizures (formerly known as grand mal seizures) where there is a sequence of tonic stiffness followed by clonic jerking. In contrast, focal (partial) seizures originate in a specific area of the brain and may result in localized symptoms before possibly spreading to involve both sides of the brain. Jacksonian seizures specifically refer to focal seizures with motor symptoms that spread in a stepwise fashion, starting from one part of the body.
Question 5 of 5
Clients with myastherda gravis, Guillain - Barre Syndrome or amyothrophic sclerosis experience:
Correct Answer: C
Rationale: Clients with myasthenia gravis, Guillain-Barre Syndrome, or amyotrophic lateral sclerosis (ALS) are all affected by various neuromuscular conditions that can lead to respiratory complications. These conditions can cause weakness in the muscles involved in breathing, leading to difficulties with coughing, clearing secretions, and maintaining adequate ventilation. This weakness can ultimately result in an increased risk of breathing difficulties, respiratory infections, and respiratory failure. Therefore, clients with these conditions require close monitoring and respiratory support to manage and prevent complications related to respiratory function.