ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 of 5
Which of the following is the most critical intervention needed for a client with myxedema coma?
Correct Answer: A
Rationale: Myxedema coma is a severe form of hypothyroidism that can lead to life-threatening complications, including decreased level of consciousness, hypothermia, respiratory depression, and cardiovascular collapse. Rapid administration of thyroid hormone replacement therapy, such as levothyroxine, is crucial in the management of myxedema coma to reverse the underlying hypothyroid state and improve clinical outcomes. Therefore, administering an oral dose of levothyroxine is the most critical intervention needed for a client with myxedema coma. While warming the client with a warming blanket, measuring intake and output, and maintaining a patent airway are important aspects of care, they are not as directly related to the reversal of the underlying hypothyroid state in myxedema coma as administering levothyroxine.
Question 2 of 5
A client with acquired immunodeficiency syndrome (AIDS) is receiving zidovudine (azidothymidine, AZT [Retrovir]). To check for adverse drug effects, the nurse should monitor the results of laboratory test?
Correct Answer: D
Rationale: Zidovudine (azidothymidine, AZT [Retrovir]) is an antiretroviral medication used to treat human immunodeficiency virus (HIV) infection. One of the potential adverse effects of zidovudine is bone marrow suppression, which can lead to decreased production of blood cells including platelets. Monitoring the platelet count is essential because a low platelet count (thrombocytopenia) can result in an increased risk of bleeding and bruising. Therefore, regular monitoring of platelet count is crucial to detect and manage this potential adverse effect promptly in patients receiving zidovudine therapy. Monitoring other laboratory tests such as RBC count, serum calcium, and fasting blood glucose may also be important for assessing overall health status, but platelet count monitoring takes priority due to the risk of thrombocytopenia associated with zidovudine therapy.
Question 3 of 5
All the following are true about infant sleep between 2-6 months EXCEPT
Correct Answer: D
Rationale: Infant sleep cycles differ significantly from adult patterns.
Question 4 of 5
You are explaining the risk of leukemia in children with Down syndrome to medical students; your discussion will include all the following statements EXCEPT
Correct Answer: D
Rationale: Children with Down syndrome often have better outcomes when treated with specific regimens, contrary to this option.
Question 5 of 5
Coarctation of the aorta causes all of the following signs except:
Correct Answer: D
Rationale: Coarctation of the aorta is a congenital heart defect characterized by a narrowing of the aorta, the main artery carrying blood from the heart to the body. The signs of coarctation of the aorta include higher blood pressure in the upper extremities (Choice A) due to the narrowing of the aorta causing increased pressure proximal to the constriction. Right ventricular hypertrophy (Choice B) occurs as the heart works harder to overcome the obstruction in the aorta. Legs being cooler than arms (Choice C) is a result of decreased blood flow to the lower body due to the aortic narrowing. Hemodilution (Choice E) can occur as a compensatory mechanism in response to the increased blood pressure in the upper body. Nosebleeds (Choice D) are not typically associated with coarctation of the aorta but may occur due to other factors unrelated to this condition.