ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 5
Which part of the body is supplied by nerves form the thoracic cord?
Correct Answer: C
Rationale: Nerves from the thoracic cord supply the trunk of the body. The thoracic spinal cord region is responsible for supplying nerves to the chest, abdomen, and back—the areas that make up the trunk of the body. Each level of the thoracic spinal cord is associated with specific nerves that innervate different areas of the trunk, including the intercostal muscles, abdominal muscles, and other structures. Therefore, the trunk is the part of the body supplied by nerves from the thoracic cord.
Question 2 of 5
In the presence of coma or unconsciousness, the major therapeutic measure includes:
Correct Answer: A
Rationale: In the presence of coma or unconsciousness, maintaining a clear airway is the major therapeutic measure to ensure adequate breathing and oxygenation. A clear airway is vital for the patient's survival and should be the priority to prevent respiratory distress or failure. Providing good nursing care is important for overall patient well-being, but ensuring a clear airway is crucial for immediate life support. Retention of a catheter is not a major therapeutic measure in the context of coma or unconsciousness unless specifically indicated for monitoring or treatment of underlying conditions. Therefore, the most critical intervention in this scenario is the maintenance of a clear airway.
Question 3 of 5
Which of the ff. would the nurse explain to the patient is indicated by a Snellen chart finding 20/80?
Correct Answer: A
Rationale: The Snellen chart is a chart used to measure visual acuity. The numbers in a Snellen fraction indicate the distance from which a person with normal eyesight can see the letters on the chart. In the case of 20/80, this means that the person can see at 80 feet what a person with normal eyesight can see at 20 feet. So, option A is correct as it accurately explains what is indicated by a Snellen chart finding of 20/80.
Question 4 of 5
Which of the following is usually the first symptom of a cataract that the nurse would expect a patient to report during assessment?
Correct Answer: B
Rationale: Blurring of vision is typically the first symptom of a cataract that the nurse would expect a patient to report during assessment. As a cataract develops, it causes clouding of the eye's lens, leading to a decrease in the clarity of vision. This blurriness can progress over time, impacting the patient's ability to see clearly. Other symptoms such as glare sensitivity, poor night vision, double vision, and color fading may also be present as the cataract progresses. Dry eyes, eye pain, and loss of peripheral vision are not typically the initial symptoms associated with cataracts.
Question 5 of 5
A client with severe head trauma sustained in a car accident is admitted to the intensive care unit. Thirty six-hours later, the client's urine output suddenly rises above 200mL/hour, leading the nurse to suspect diabetes insipidus. Which laboratory findings support the nurse's suspicion of diabetes insipidus?
Correct Answer: B
Rationale: Diabetes insipidus is a condition characterized by the inability of the kidneys to adequately concentrate urine, leading to excessive dilute urine production. In diabetes insipidus, both urine and serum osmolality levels are typically below normal due to the dilution of urine. When urine output suddenly rises above 200mL/hour in a client with severe head trauma, it may indicate diabetes insipidus, especially if the urine and serum osmolality levels are below normal. This abnormality in osmolality levels is due to the impaired ability of the kidneys to concentrate urine, resulting in decreased urine osmolality and subsequent dilution of the serum osmolality.