FNP Pediatric Practice Questions

FNP Pediatric Practice Questions Related

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Following a unilateral adrenalectomy, the nurse would assess for hyperkalemia shown by which of the following?

  • A. Muscle weakness
  • B. Diaphoresis
  • C. Tremors
  • D. Constipation
Correct Answer: A

Rationale: Following a unilateral adrenalectomy, there is a risk of developing hyperkalemia due to the altered balance of electrolytes. Hyperkalemia is characterized by high levels of potassium in the blood, which can lead to various symptoms. One of the key manifestations of hyperkalemia is muscle weakness. This occurs because high potassium levels can disrupt the normal function of skeletal muscles, leading to weakness and potentially affecting motor function. Therefore, the nurse would assess for muscle weakness as a sign of hyperkalemia in a patient following a unilateral adrenalectomy. Options B, C, and D are not typically associated with hyperkalemia.

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Basic principles of healthy sleep hygiene include all the following EXCEPT

  • A. set routine time
  • B. avoid stimulating activities as playing computer games
  • C. spends meal out of your bedroom
  • D. gives a heavy meal every day
Correct Answer: D

Rationale: Heavy meals before bedtime can disrupt sleep.

A child is being discharged from an ambulatory care center after an inguinal hernia repair. Which discharge interventions should the nurse implement? (Select all that apply.)

  • A. Discuss dietary restrictions.
  • B. Hold any analgesic medications until the child is home.
  • C. Send a pain scale home with the family.
  • D. Suggest the parents fill the prescriptions on the way home.
Correct Answer: A

Rationale: Discuss dietary restrictions: It is important to provide the family with information regarding any dietary restrictions that the child may have post-surgery to ensure proper healing and comfort.

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.

You are meeting parents of a 5-year-old boy; the mother is wondering about the normal sexual behavior of her child. Of the following, the sexual behavior that is considered HIGHLY unusual in this age group is

  • A. touching his genitals in public
  • B. showing his genitals to others
  • C. undressing in public
  • D. imitating intercourse or other adult sexual behaviors
Correct Answer: D

Rationale: Imitating adult sexual behaviors is highly unusual and concerning in young children, suggesting possible exposure to inappropriate content or experiences.

Neonates of mothers with diabetes are at risk for which complication following birth?

  • A. Atelectasis
  • B. Microcephaly
  • C. Pneumothorax
  • D. Macrosomia
Correct Answer: D

Rationale: Neonates of mothers with diabetes are at risk for macrosomia following birth. Macrosomia refers to a condition where the newborn baby is significantly larger than average, typically weighing more than 4,000 grams (8 pounds, 13 ounces) at birth. This risk is primarily due to maternal hyperglycemia, which can lead to excessive fetal growth. The elevated glucose levels in the maternal circulation can cross the placenta and stimulate fetal insulin production, resulting in increased growth and potentially leading to macrosomia. Neonates born with macrosomia are at increased risk for complications during delivery, such as shoulder dystocia, birth injuries, and the need for cesarean delivery.

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