ATI RN
ATI N400 Pediatrics Exam 2 Questions
Extract:
A child diagnosed with Hirschsprung's disease is scheduled for surgery.
Question 1 of 5
Which of the following actions should the nurse include in the preoperative care for this child? (Select All that Apply.)
Correct Answer: A,C,E,G
Rationale: The correct actions in preoperative care for a child are A, C, E, and G.
A: Measuring abdominal girth helps monitor for abdominal distention or swelling, indicating potential issues postoperatively.
C: Assessing bowel function and stool characteristics is crucial to prevent postoperative complications like ileus.
E: Administering antibiotics as ordered helps prevent surgical site infections.
G: Assessing vomiting can indicate gastrointestinal issues that may affect anesthesia and surgery.
B: Teaching deep breathing exercises is important for postoperative recovery, not necessarily preoperative care.
D: Administering an isotonic enema is not routinely done preoperatively and may not be necessary for all children.
F: Restricting fluid intake is not typically recommended preoperatively as hydration is important for surgery.
Extract:
A newborn with spina bifida prior to repair.
Question 2 of 5
What is the appropriate method to protect the sac in a newborn with spina bifida prior to repair?
Correct Answer: C
Rationale: The correct answer is C: Cover with a sterile moist saline dressing. This method helps to maintain a moist environment promoting wound healing, prevents drying and discomfort, and reduces the risk of infection. Dry gauze dressing (choice
A) can lead to drying out the sac. Positioning supine (choice
B) is important for initial resuscitation but does not directly protect the sac. Performing skin assessments and applying skin barrier (choice
D) is important but does not address the specific need to protect the sac.
Extract:
A client who has atopic dermatitis.
Question 3 of 5
Which of the following interventions should the nurse prioritize for controlling manifestations of the condition? (Select All that Apply.)
Correct Answer: B,C,D
Rationale: The correct interventions for controlling manifestations of a condition are B, C, and D. Sunscreen helps prevent exacerbation of symptoms in sunlight-sensitive conditions. Identifying triggers allows for avoidance and management, reducing symptom occurrence.
Topical corticosteroids help alleviate inflammation and discomfort. A is incorrect because scented lotions can potentially irritate the skin. E is incorrect as scrubbing can worsen symptoms.
Extract:
A child weighs 6kg. The reference safe dose is 0.03 to 0.06mg/kg/day.
Question 4 of 5
A child is ordered Digoxin 0.025mg PO daily (digoxin elixir). What is the minimum dosage this child should get? Do not use a trailing zero. Round to the Hundredth Place)
Correct Answer: A
Rationale: The correct answer is A: 0.18.
To calculate the minimum dosage of Digoxin for this child, we start by converting the prescribed dose to milligrams (0.025mg). Since we are looking for the minimum dosage, we round this value to the hundredth place, which gives us 0.03mg.
Therefore, the minimum dosage the child should receive is 0.03mg, which is equivalent to 0.18 in the hundredth place. The other choices are incorrect because they do not accurately reflect the rounded minimum dosage required for the child based on the prescribed dose.
Extract:
A child who ingested kerosene.
Question 5 of 5
Which of the following assessments is the nurse's priority?
Correct Answer: A
Rationale: The correct answer is A: Respiratory Rate. Assessing the respiratory rate is the priority because airway and breathing are essential for survival. If there are issues with breathing, it can quickly lead to a life-threatening situation. Monitoring the respiratory rate helps in detecting any breathing difficulties early on. Bowel sounds, burns of the mouth, and visual acuity are important assessments but do not take precedence over respiratory rate in terms of immediate threat to life. Bowel sounds indicate gastrointestinal function, burns of the mouth may affect eating and swallowing, and visual acuity is important for vision, but they are not as critical as ensuring the patient can breathe effectively.