ATI RN
Essential of Pediatric Nursing Test Bank Questions
Question 1 of 5
Why are rectal temperatures not recommended in the newborn?
Correct Answer: C
Rationale: Rectal temperatures are not recommended in newborns because they can potentially cause perforation of the rectal mucosa. Newborns have fragile, delicate tissues in the rectal area, and the insertion of a rectal thermometer may lead to injury or damage to the mucosal lining. It is important to exercise caution and use alternative methods for taking temperatures in newborns to avoid any harm or discomfort.
Question 2 of 5
A teen asks a nurse, "What is physical dependence in substance abuse?" Which is the correct response by the nurse?
Correct Answer: B
Rationale: Physical dependence in substance abuse refers to the body's physiological adaptation to a drug, leading to the development of withdrawal symptoms when the drug is abruptly stopped or reduced in dosage. This is different from addiction, which involves psychological dependence and compulsive drug-seeking behavior despite harmful consequences. Physical dependence is typically characterized by tolerance (needing higher doses to achieve the same effect) and withdrawal symptoms when the drug is stopped.
Question 3 of 5
What should be included in the teaching plan to young adults about the spread of AIDS?
Correct Answer: A
Rationale: It is crucial to include in the teaching plan to young adults that heterosexual transmission of HIV is on the rise. This information is important as many young adults may not be aware of the risks associated with heterosexual transmission of HIV, leading to a false sense of security. By educating them about this fact, young adults can be more informed about how HIV spreads and take necessary precautions to protect themselves and others. Providing accurate information about the modes of HIV transmission will help prevent the further spread of the virus among young adults.
Question 4 of 5
A woman sees her primary care provider because of extreme fatigue for the past 2 months; she difficulty lifting even light objects. Her physician suspects myasthenia gravis. Which of the ff. tests should the nurse anticipate to confirm this diagnosis?
Correct Answer: D
Rationale: The Tensilon test is used to confirm the diagnosis of myasthenia gravis, a condition characterized by muscle weakness and fatigue. In this test, the medication Tensilon (also known as edrophonium) is administered intravenously. If the patient has myasthenia gravis, there will be a rapid but temporary improvement in muscle strength after the Tensilon injection. This response helps to differentiate myasthenia gravis from other causes of muscle weakness. The other options mentioned (Mestinon test, pulmonary function studies, and quinine tolerance test) do not specifically confirm the diagnosis of myasthenia gravis.
Question 5 of 5
When caring for a child that has undergone a tonsillectomy, the nurse should do which of the following?
Correct Answer: A
Rationale: When caring for a child that has undergone a tonsillectomy, the nurse should observe for continuous swallowing. Continuous swallowing may indicate bleeding, and it is important to monitor for this postoperatively as it can be a sign of hemorrhage, which is a potential complication following a tonsillectomy. Encouraging the child to take sips of clear fluids can help in assessing if there is bleeding. Observing for any signs of bleeding, such as frequent swallowing, along with monitoring vital signs and overall assessment, is crucial during the initial postoperative period.