ATI RN
RN Nursing Care of Children 2019 With NGN
1. For minimal change nephrotic syndrome (MCNS), prednisone is effective when what occurs?
- A. Appetite increases and blood pressure is normal
- B. Urinary tract infection is gone and edema subsides
- C. Generalized edema subsides and blood pressure is normal
- D. Diuresis occurs as urinary protein excretion diminishes
Correct answer: D
Rationale: The effectiveness of prednisone in treating MCNS is indicated by diuresis and a decrease in urinary protein excretion. Subsidence of generalized edema is also a positive sign, but the key indicator is the reduction in proteinuria, which is achieved through diuresis.
2. What is the drug of choice for progressive multiple sclerosis?
- A. Ocrelizumab
- B. Dimethyl fumarate
- C. Teriflunomide
- D. Fluoroquinolones
Correct answer: A: Ocrelizumab
Rationale: Ocrelizumab is the drug of choice for progressive multiple sclerosis due to its efficacy in reducing disease activity and progression in patients with this form of the disease. Dimethyl fumarate, Teriflunomide, and Fluoroquinolones are not typically used as first-line treatments for progressive MS.
3. The recommended daily fluid intake of patients maintained using hemodialysis is:
- A. 150 mL plus the volume of urinary output
- B. 500 mL plus the volume of urinary output
- C. 1000 mL plus the volume of urinary output
- D. 1500 mL plus the volume of urinary output
Correct answer: C
Rationale: The correct answer is C: 1000 mL plus the volume of urinary output. Fluid intake is typically restricted in hemodialysis patients to prevent fluid overload. The recommended daily fluid intake for these patients is 1000 mL plus any urinary output. Choice A (150 mL plus the volume of urinary output) is too low and would not provide enough fluid for these patients. Choice B (500 mL plus the volume of urinary output) is also insufficient. Choice D (1500 mL plus the volume of urinary output) is too high and may lead to fluid overload in hemodialysis patients.
4. In the United States, the second leading cause of neonatal mortality is __________, which is largely preventable.
- A. malnutrition
- B. physical abnormality
- C. low birth weight
- D. sudden infant death syndrome
Correct answer: C
Rationale: The second leading cause of neonatal mortality in the United States is low birth weight, which is largely preventable through proper prenatal care, nutrition, and health interventions. Low birth weight infants are at higher risk for various health complications and mortality, making it an important issue to address in maternal and child health programs. Malnutrition (choice A) can contribute to low birth weight but is not the direct cause of neonatal mortality. Physical abnormality (choice B) can be a factor in some cases but is not the second leading cause overall. Sudden infant death syndrome (choice D) refers to unexplained deaths of seemingly healthy babies and is not related to low birth weight as a leading cause of neonatal mortality.
5. A client with long-standing heart failure being treated for cancer has received a dose of ondansetron for nausea. What action by the nurse is most important?
- A. Assess the client for a headache or dizziness.
- B. Request a prescription for cardiac monitoring.
- C. Instruct the client to change positions slowly.
- D. Weigh the client daily before eating.
Correct answer: B
Rationale: Ondansetron can prolong the QT interval, making cardiac monitoring essential in this scenario.
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