ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 5
Will is being assessed by Nurse Lucas for possible intussusception; which of the following would be least likely to provide valuable information?
Correct Answer: B
Rationale: When assessing a patient like Will for possible intussusception, the least likely to provide valuable information would be the family history. While family history can help identify potential genetic predispositions or conditions that may contribute to a patient's current health concerns, in this case, the focus is on Will's immediate symptoms and diagnostic indicators related to possible intussusception. Abdominal palpation, pain pattern assessment, and stool inspection are more directly relevant to evaluating Will's current condition and determining the likelihood of intussusception. Family history, while important in a broader health context, would be least likely to provide immediate insights into Will's specific situation with intussusception.
Question 2 of 5
The basic principle of healthy sleep hygiene which is NOT included is
Correct Answer: D
Rationale: Heavy meals close to bedtime disrupt sleep.
Question 3 of 5
The child refusing to go to bed and remaining active is likely due to
Correct Answer: D
Rationale: Limit-setting insomnia involves resistance to bedtime routines.
Question 4 of 5
The nurse understands that an anaphylactic reaction is considered which of the following types of hypersensitivity reactions?
Correct Answer: A
Rationale: An anaphylactic reaction is considered a Type I hypersensitivity reaction. In Type I hypersensitivity, the immune system produces IgE antibodies in response to an allergen, leading to the release of various inflammatory mediators like histamine. This immediate systemic reaction can cause symptoms such as hives, itching, swelling, difficulty breathing, and in severe cases, anaphylactic shock. These reactions occur quickly, typically within minutes to hours after exposure to the allergen. Anaphylaxis is a medical emergency that warrants immediate intervention with epinephrine and supportive care.
Question 5 of 5
Deaths have occurred when potassium chloride has been used incorrectly to flush a lock or central venous catheter. Which of the ff precautions should a nurse take to minimize this risk?
Correct Answer: C
Rationale: The precaution a nurse should take to minimize the risk of deaths occurring when potassium chloride is used incorrectly to flush a lock or central venous catheter is to read labels carefully on vials containing flush solutions for locks. This is essential to ensure that the correct solution is being used and to prevent accidental administration of potassium chloride, which can be fatal if used inappropriately. By carefully checking the labels, the nurse can confirm that they are using the correct flush solution and avoid any harmful errors. This simple precaution can help in ensuring patient safety and preventing adverse outcomes.