ATI RN
ATI Nurs 150 Pediatric Final Exam 0924 Cohort Questions
Extract:
A child who is experiencing a seizure
Question 1 of 5
A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Position the child laterally. This is the correct action because it helps prevent aspiration and maintains an open airway during a seizure. Placing the child on their side also reduces the risk of injury.
Other choices are incorrect: B: Using a padded tongue blade is unnecessary and could potentially harm the child's mouth. C: Attempting to stop the seizure is not within the nurse's control and could be dangerous. D: Restraining the child's arms can lead to injuries and is not recommended during a seizure.
Extract:
A parent of a child who has hemophilia
Question 2 of 5
A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B: I will apply heat. Heat can worsen bleeding in hemophilia by dilating blood vessels, leading to increased blood flow and prolonged bleeding. Compressing the site (
A) helps control bleeding by applying pressure. Elevating the affected part (
C) reduces blood flow to the area. Having the child rest (
D) minimizes physical activity that could exacerbate bleeding. No further teaching is needed if the parent mentions any of these options.
Extract:
A 24-month-old toddler who is in the 50th percentile for height and weight
Question 3 of 5
A nurse is teaching about safety recommendations for car seats with the parents of a 24-month- old toddler who is in the 50th percentile for height and weight. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Position the toddler rear-facing in the middle of the back seat. This is the safest option for a 24-month-old toddler as it provides optimal protection in the event of a crash. Rear-facing car seats offer better support for the child's head, neck, and spine, reducing the risk of injury in a frontal collision. Placing the car seat in the middle of the back seat provides the most distance from potential impact areas, further enhancing safety.
Incorrect choices:
A: Positioning a booster seat forward-facing in the middle of the back seat is not appropriate for a 24-month-old toddler.
C: Placing a convertible seat forward-facing in the front passenger side and inactivating the airbag is not recommended as it may still pose a risk in the event of a crash.
D: Positioning a convertible seat rear-facing in the front passenger side is also not recommended as rear-facing seats should be placed in the back seat for optimal safety.
Extract:
A child who has influenza
Question 4 of 5
A nurse is caring for a child who has influenza. The nurse should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome?
Correct Answer: D
Rationale: The correct answer is D because giving aspirin to a child with influenza can increase the risk of developing Reye syndrome, a rare but serious condition that affects the liver and brain. The use of aspirin in children with viral illnesses like influenza has been linked to Reye syndrome. Ibuprofen (choice
A) is a safer alternative for pain relief. Drinking grapefruit juice (choice
B) and using a humidifier (choice
C) are unrelated to Reye syndrome. In summary, giving aspirin to a child with influenza is the key factor that increases the risk of Reye syndrome compared to the other options.
Extract:
A child who has been physically abused by a family member
Question 5 of 5
A nurse is caring for a child who has been physically abused by a family member. Which of the following statements should the nurse say to the child?
Correct Answer: C
Rationale:
Correct
Answer: C - It is not your fault that this happened.
Rationale:
1. Empathy and reassurance: This statement shows empathy and reassures the child that they are not to blame for the abuse.
2. Encourages open communication: By acknowledging that it is not the child's fault, the nurse promotes open communication and trust.
3. Empowers the child: This statement empowers the child to express their feelings and seek help.
4. Maintains confidentiality: It does not breach confidentiality like option D, which is important for the child's safety and trust in the nurse.
Summary:
A: May pressure the child to discuss with family, potentially putting them at risk.
B: Blaming the family can make the child feel guilty or conflicted about their feelings.
D: Promising not to tell anyone may hinder the child from getting the necessary help and protection.