ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
Why should the nurse monitor angiotensin converting enzyme inhibitors cautiously in clients with renal or hepatic impairment and in older adults?
Correct Answer: B
Rationale: Angiotensin converting enzyme (ACE) inhibitors are commonly used to manage hypertension and heart failure by blocking the conversion of angiotensin I to angiotensin II. In clients with renal or hepatic impairment, as well as in older adults, the metabolism and excretion of ACE inhibitors may be altered, leading to an increased risk of drug accumulation and potential hypotension. Monitoring these clients cautiously for a sudden drop in blood pressure, especially during the first 1-3 hours after the initial dose, is crucial to prevent complications such as dizziness, lightheadedness, and falls. Adjustments in dosage or frequency may be necessary to ensure the safe and effective use of ACE inhibitors in these populations.
Question 2 of 5
During a well-baby visit, Liza asks the nurse when she should start giving her infant solid foods. The nurse should instruct her to introduce which solid food first?
Correct Answer: C
Rationale: When introducing solid foods to an infant for the first time, rice cereal is generally recommended as it is mild, easy to digest, and less likely to cause food allergies compared to other foods. It is a good source of iron and a suitable first food for most infants. Introducing rice cereal as the first solid food also helps the baby get accustomed to a different texture and aids in their transition from a milk-only diet to solid foods. It is important to follow the guidance of healthcare professionals regarding the introduction of solid foods to infants to ensure they receive appropriate nutrition and avoid any potential digestive issues.
Question 3 of 5
In giving health instructions, the nurse should infrom the client about the risk fsctors associated with coronary artery disease. Which of the following controllable risk factors is closely linked to the development of MI?
Correct Answer: B
Rationale: High cholesterol levels are closely linked to the development of myocardial infarction (MI), also known as a heart attack. Elevated levels of cholesterol in the blood can lead to the buildup of plaque in the coronary arteries, causing atherosclerosis. This buildup can restrict blood flow to the heart muscle, potentially resulting in a heart attack. Managing and controlling cholesterol levels through lifestyle changes and medications can help reduce the risk of MI.
Question 4 of 5
Criteria of patent ductus arteriosus (PDA)?
Correct Answer: A
Rationale: Wide pulse pressure is a characteristic feature of PDA due to continuous blood flow between the aorta and pulmonary artery.
Question 5 of 5
A client receiving chemotherapy has a nursing diagnosis of Deficient diversional activity related to decreased energy. Which statement indicates an accurate understanding of appropriate ways to deal with this deficit?
Correct Answer: A
Rationale: Option A, "I'll play card games with my friends," indicates an accurate understanding of appropriate ways to deal with the deficit of deficient diversional activity related to decreased energy. Playing card games with friends can provide a social and mentally stimulating activity that can be easily modified based on the client's energy levels. It also promotes social interaction and emotional support, which are important aspects of diversional activities for individuals undergoing chemotherapy. This option aligns well with addressing the nursing diagnosis by engaging in a low-energy but potentially enjoyable activity that can help combat feelings of isolation and boredom.