FNP Pediatric Practice Questions

FNP Pediatric Practice Questions Related

Review FNP Pediatric Practice Questions related questions and content

A client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate?

  • A. Infusing IV fluids rapidly as ordered
  • B. Administering glucose-containing IV
  • C. Encouraging increased oral intake fluids as ordered
  • D. Restricting fluids
Correct Answer: D

Rationale: In the syndrome of inappropriate antidiuretic hormone (SIADH), there is an excessive release of antidiuretic hormone (ADH), leading to water retention by the kidneys and dilution of electrolytes in the blood. This can result in hyponatremia and fluid overload. Therefore, the appropriate nursing intervention for a client with SIADH is to restrict fluids to help prevent further fluid retention and worsening of hyponatremia. Infusing IV fluids rapidly, administering glucose-containing IV fluids, or encouraging increased oral fluid intake would exacerbate the problem by further diluting the electrolyte concentration in the blood. By restricting fluids, the aim is to maintain a strict intake and output balance to promote a gradual increase in serum sodium levels and help restore normal fluid balance in the body.

You may also like to solve these questions

Which patient would benefit most from a capped IV catheter that is used intermittently rather than continuously?

  • A. The patient with pneumonia who needs fluids and antibiotics.
  • B. The patient who has had major blood loss after a motor vehicle accident.
  • C. The young child who is dehydrated.
  • D. The elderly patient who is receiving a diuretic for fluid overload.
Correct Answer: D

Rationale: The elderly patient who is receiving a diuretic for fluid overload would benefit most from a capped IV catheter used intermittently rather than continuously. Diuretics cause the body to expel excess fluid, so the patient may require intermittent IV fluid replacement to maintain hydration while avoiding overloading the system with excessive fluids. By using the IV catheter intermittently, healthcare providers can closely monitor the patient's fluid status and adjust fluid administration as needed to prevent dehydration or fluid overload. This approach allows for more precise management of the patient's fluid balance compared to continuous IV infusion.

A 3-year-old boy is hospitalized after falling down the stairs. His mother cries, 'This is all my fault.' Which is the nurse's best response?

  • A. Accidents happen; you shouldn't blame yourself.
  • B. Falls are one of the most common injuries in this age group.
  • C. It might help to install a baby gate on the stairs.
  • D. Your son should be proficient at walking down stairs by now.
Correct Answer: B

Rationale: Reassuring the parent that falls are common in young children can help reduce guilt and anxiety.

The MOST common cause of obstructive sleep apnea in children is

  • A. obesity
  • B. allergies
  • C. adenotonsillar hypertrophy
  • D. pharyngeal reactive edema due to gastroesophageal reflux
Correct Answer: C

Rationale: Adenotonsillar hypertrophy is the leading cause of obstructive sleep apnea in children.

A female client recovers from a serious case of insect bites. What skin related advice must the nurse give to the client and all her family members to prevent the recurrence of the ailment?

  • A. Ensure minimum crowd interactions when outdoors
  • B. Apply insect repellent to clothing and exposed skin
  • C. Wear thick woollen clothing to cover the skin while outdoors
  • D. Apply a good sunscreen lotion while going outdoors
Correct Answer: B

Rationale: The nurse should advise the client and her family members to apply insect repellent to clothing and exposed skin to prevent insect bites in the future. Insect repellents containing DEET, picaridin, or oil of lemon eucalyptus are effective in repelling mosquitoes, ticks, and other insects that may cause bites. By regularly applying insect repellent, they can reduce the risk of getting bitten and prevent a recurrence of the ailment. Other preventive measures such as wearing long sleeves and pants, avoiding heavily wooded or grassy areas, and using screens on windows and doors can also be beneficial in preventing insect bites.

Bacterial meningitis alters intracranial physiology, causing:

  • A. Cerebral edema
  • B. Raised intracranial pressure
  • C. Increased permeability of the blood-barrier
  • D. All of the above changes
Correct Answer: D

Rationale: Bacterial meningitis can lead to cerebral edema by causing an inflammatory response within the brain tissue. This inflammation can result in the buildup of fluid, leading to edema. Additionally, the inflammatory response can cause an increase in permeability of the blood-brain barrier, allowing substances that are not normally able to cross the barrier to do so. This can lead to further disruption in the balance of fluid within the brain. Finally, the inflammatory response and the buildup of fluid can also result in raised intracranial pressure, which can further exacerbate the physiological changes occurring in the brain. Therefore, all of the above changes - cerebral edema, increased permeability of the blood-brain barrier, and raised intracranial pressure - can be seen in cases of bacterial meningitis.

Copyright © 2025 Nokea. All rights reserved.