ATI RN
ATI Pediatrics Exam NUrs 150 exam 3 Swaml Questions
Extract:
A 10-month-old infant who is 8 hours postoperative following cleft palate repair
Question 1 of 5
A nurse is planning care for a 10-month-old infant who is 8 hours postoperative following cleft palate repair. Which of the following interventions should the nurse include in the infant's plan of care?
Correct Answer: A
Rationale: The correct answer is A: Apply and release elbow restraints every hour. This intervention helps prevent the infant from touching or injuring the surgical site, promoting healing. Keeping the infant supine (
B) is not specific to cleft palate repair. Feeding with a spoon for 48 hours (
C) is not recommended postoperatively. Suctioning the mouth with an oral suction tube (
D) can increase the risk of infection and disrupt healing.
Extract:
An infant who has gastroesophageal reflux
Question 2 of 5
A nurse is caring for an infant who has gastroesophageal reflux. The nurse should place the infant in which of the following positions following feedings?
Correct Answer: D
Rationale: The correct answer is D: Place the infant in an infant seat. This position helps to keep the infant upright, which can reduce the likelihood of gastroesophageal reflux. Placing the infant on the left or right side or in a prone position can increase the risk of reflux as it can allow stomach contents to flow back up the esophagus. Placing the infant in an infant seat helps to prevent regurgitation and discomfort after feedings, making it the most appropriate choice in this scenario.
Extract:
A child who is 2 hours postoperative following a tonsillectomy
Question 3 of 5
A nurse is caring for a child who is 2 hours postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time?
Correct Answer: D
Rationale: The correct answer is D: Water. Post-tonsillectomy, it is important to offer clear fluids to prevent dehydration and promote healing. Water is the best option as it is non-irritating and helps maintain hydration without risking complications such as aspiration or pain. Cranberry juice (
A) may be too acidic and irritating, vanilla milkshake (
B) is too thick and can cause discomfort, and cubed ice (
C) may be too cold and can potentially increase the risk of bleeding. Overall, water is the safest and most appropriate choice for a child post-tonsillectomy.
Extract:
A 1-week-old infant who has a prescription for home oxygen and pulse oximetry monitoring
Question 4 of 5
A nurse is providing teaching to the parents of a 1-week-old infant who has a prescription for home oxygen and pulse oximetry monitoring. Which of the following statements by the parents indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C. Rotating the probe of the pulse oximeter every 24 hours is incorrect because it can lead to inaccurate readings. The pulse oximeter probe should be securely placed on the same site to ensure consistent and accurate readings. Moving the probe can disrupt the signal and affect the accuracy of oxygen saturation measurements.
Choices A and B are correct statements as they address potential issues with pulse oximetry accuracy.
Choice D is also correct as the probe can be applied to either a finger or a toe.
Extract:
A child who has suspected appendicitis
Question 5 of 5
A nurse is caring for a child who has suspected appendicitis. Which of the following provider prescriptions should the nurse clarify?
Correct Answer: A
Rationale: The correct answer is A: Administer sodium biphosphate/sodium phosphate. In suspected appendicitis cases, laxatives like sodium biphosphate/sodium phosphate can worsen the condition by causing further inflammation or rupture of the appendix. The nurse should clarify this prescription to prevent potential harm to the child.
B: Maintaining NPO status is appropriate to prevent further complications if surgery is needed.
C: Monitoring oral temperature is essential to identify signs of infection, which is common in appendicitis.
D: Medicating for pain every 4 hours as needed is appropriate for comfort but does not pose a direct risk in this scenario.