ATI RN
Essential of Pediatric Nursing Test Bank Questions
Question 1 of 5
Which of the following method if used by Wilma will best assure that the tracheostomy ties are not too tightly placed?
Correct Answer: A
Rationale: Placing 2 fingers between the tracheostomy tie and the neck is a reliable method to ensure that the tie is not too tight. This technique allows for proper circulation around the neck area and helps prevent skin irritation or pressure ulcers from developing. It strikes a balance between securing the tracheostomy in place and maintaining the patient's comfort and safety. Checking for appropriate tightness by using the finger method is a standard practice in tracheostomy care to prevent complications related to excessive pressure or constriction.
Question 2 of 5
A patient visits her nurse practitioner (NP) after she has a cold for a week and is now experiencing a severe headache and fever. Her NP diagnoses a sinus infection. Which of the following additional symptoms is the patient likely to exhibit?
Correct Answer: A
Rationale: Sinus infections, also known as sinusitis, are often characterized by symptoms such as congestion, facial pain or pressure, and nasal discharge. Facial tenderness over the affected sinuses, particularly when tapping on the area, is a common symptom associated with sinus infections due to the inflammation and buildup of mucus in the sinuses. This tenderness is often present in the cheeks, forehead, or around the eyes. The other symptoms mentioned in the choices (photophobia, chest pain, ear drainage) are less commonly associated with sinus infections compared to facial tenderness.
Question 3 of 5
A newly diagnosed patient asks what asthma is. Which of the ff. explanations by the nurse is correct?
Correct Answer: A
Rationale: Option A, "Your airways are inflamed and spastic," is the correct explanation of asthma. Asthma is a chronic respiratory condition characterized by inflammation and narrowing of the airways, which causes difficulty in breathing, coughing, and wheezing. The inflammation leads to the airways becoming extremely sensitive to various triggers, such as allergens, irritants, or exercise, resulting in spasms that further constrict the air passages. This constriction makes it challenging for air to move in and out of the lungs efficiently, leading to symptoms such as shortness of breath. It is essential for the patient to understand that asthma is primarily an inflammatory condition rather than a structural or infectious problem.
Question 4 of 5
When administering oxygen to a client, under which of the ff situations should the nurse discontinue the administration and notify the physician?
Correct Answer: C
Rationale: When a client is in a state of respiratory arrest, it means their breathing has stopped. This is a life-threatening emergency situation that requires immediate action. The nurse should discontinue administering oxygen and promptly notify the physician for further intervention, such as initiating CPR or advanced airway management. Prompt recognition and timely response to respiratory arrest are crucial in saving the client's life.
Question 5 of 5
Which of the ff nursing interventions should a nurse perform to relieve tachycardia that may develop in a client with myocarditis from hypoxemia?
Correct Answer: C
Rationale: Administering supplemental oxygen is the most appropriate nursing intervention to relieve tachycardia that may develop in a client with myocarditis from hypoxemia. Myocarditis can lead to decreased oxygen delivery to the tissues, which may result in tachycardia as the body tries to compensate for the lack of oxygen. Providing supplemental oxygen will help increase oxygen levels in the blood, improving tissue perfusion and thus reducing the tachycardia. This intervention aims to address the underlying cause of the tachycardia in this situation.