ATI RN
Maternity and Pediatric Nursing 4th Edition Test Bank Questions
Question 1 of 5
Which of these signs suggests that a client with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion is experiencing complications?
Correct Answer: C
Rationale: In the context of syndrome of inappropriate antidiuretic hormone (SIADH), complications such as hyponatremia and fluid overload can lead to increased volume in the venous system, including the neck veins. Neck vein distention is a sign associated with fluid overload and can be indicative of worsening complications in a client with SIADH. Tetanic contractions are not typical manifestations of complications in SIADH. Weight loss and polyuria are not commonly associated with SIADH due to the increased water retention caused by the syndrome.
Question 2 of 5
The child who can hop on one foot, copies circles, and brushes teeth without help has achieved the developmental age of
Correct Answer: B
Rationale: These skills are typically developed by age 3.
Question 3 of 5
What is smokeless tobacco?
Correct Answer: B
Rationale: Smokeless tobacco refers to tobacco products that can be used without being smoked. These products usually come in the form of snuff, chewing tobacco, or dissolvable tobacco products. While smokeless tobacco does not involve the inhalation of smoke, it is still proven to be carcinogenic. The most significant health risk associated with smokeless tobacco is the potential to develop various types of cancer, including oral, esophageal, and pancreatic cancer. Therefore, it is crucial to understand that using smokeless tobacco is not a safe alternative to cigarette smoking, as it still poses serious health risks.
Question 4 of 5
. A client is admitted to the health care facility for evaluation for Addison's disease. Which laboratory test result best supports a diagnosis of Addison's disease?
Correct Answer: C
Rationale: Addison's disease, also known as adrenocortical insufficiency, is characterized by a deficiency in adrenal cortex hormones, particularly glucocorticoids and mineralocorticoids. One of the characteristic findings in Addison's disease is hyperkalemia, which is an elevated serum potassium level. This is due to the lack of aldosterone production by the adrenal glands, leading to decreased potassium excretion by the kidneys. Therefore, a serum potassium level of 5.8 mEq/L would best support a diagnosis of Addison's disease among the given laboratory test results.
Question 5 of 5
A mother of a term neonate asks what the thick, white, cheesy coating is on his skin. Which correctly describes this finding?
Correct Answer: D
Rationale: The thick, white, cheesy coating on the skin of a newborn baby is called vernix caseosa. It is a substance produced by the fetal sebaceous glands and is meant to protect the baby's skin while in the amniotic fluid. Vernix helps to maintain the skin's hydration, provides a barrier against infection, and aids in the transition from the wet intrauterine environment to the dry extrauterine world. It is usually found on the skin of term newborns but can be present in preterm babies as well. As the baby is exposed to air and dries off, the vernix will naturally diminish.