ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
A 3-month-old, former 29-week-premature infant has been scheduled for repair of bilateral inguinal hernias. The infant had received mechanical ventilation for the first 6 days of life and had apnea of prematurity that resolved 5 weeks ago. The infant is feeding well and gaining weight and has no requirement for supplemental oxygen. The hematocrit is 28. The HMO clerk approves the surgery on an outpatient basis. All of the following are true EXCEPT
Correct Answer: D
Rationale: The correct answer is D because it provides inaccurate information regarding the management of a 3-month-old infant undergoing repair of bilateral inguinal hernias. Infants who have a history of prematurity, mechanical ventilation, and apnea of prematurity have a higher risk of postoperative apnea, especially after general anesthesia. Therefore, close monitoring for apnea is crucial postoperatively. Sending the infant home on the day of surgery after a spinal anesthetic without monitoring increases the risk of missing potential complications and can be dangerous. Option A is incorrect because anemia can indeed increase the risk of postoperative apnea in infants. Option B is incorrect as it is standard practice to monitor infants with a history of prematurity and apnea of prematurity for apnea after general anesthesia. Option C highlights the importance of not postponing the surgery due to the risk of complications associated with inguinal hernias. In an educational context, it is essential for healthcare providers, especially pediatric nurses, to be aware of the specific risks and considerations when caring for infants with a history of prematurity and apnea of prematurity undergoing surgical procedures. Understanding the potential complications and appropriate monitoring protocols can help ensure the safety and well-being of these vulnerable patients.
Question 2 of 5
When teaching parents of a school-aged child with a new diagnosis of osteomyelitis of the tibia, which statement by the parents indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B. Osteomyelitis of the tibia typically requires antibiotic therapy for at least 4 weeks. Surgery may be necessary if the infection does not respond to antibiotics. Weight-bearing should be avoided with osteomyelitis to prevent complications. Choices A, C, and D are incorrect because a cast until healing, returning to sports immediately, and contact isolation are not primary management strategies for osteomyelitis.
Question 3 of 5
The healthcare provider is providing teaching about Social Development to the parents of a preschooler. Which of the following play activities should the provider recommend for the child?
Correct Answer: D
Rationale: In pediatric nursing, understanding child development stages is crucial for providing appropriate guidance to parents. In the case of a preschooler's social development, engaging in imaginative play like playing dress-up (Option D) is highly beneficial. Dress-up play fosters creativity, social skills, and emotional expression in children by allowing them to role-play different characters and scenarios. This type of play helps preschoolers explore their identities, develop empathy, and practice social interactions. Regarding the other options: A) Playing pat-a-cake: While this activity can be fun and promote coordination, it primarily focuses on physical development rather than social development. B) Using a push-pull toy: This type of play is more geared towards enhancing motor skills rather than social skills. C) Creating a scrapbook: While scrapbooking can be a creative activity, it may not directly target social development as effectively as imaginative play like dress-up does. Educationally, by recommending dress-up play for the preschooler, healthcare providers can empower parents to support their child's social development in a fun and engaging way, fostering important skills that will benefit the child's overall growth and well-being.
Question 4 of 5
A toddler has minimal change nephrotic syndrome (MCNS) and 3+ pitting edema. Which intervention should the nurse include in the plan of care?
Correct Answer: D
Rationale: In managing minimal change nephrotic syndrome (MCNS) in children with pitting edema, corticosteroids are the mainstay of treatment. Corticosteroids help reduce inflammation and decrease proteinuria, addressing the underlying cause of MCNS. Therefore, the nurse should prioritize administering the prescribed corticosteroids to the toddler as part of the plan of care.
Question 5 of 5
A school-age child has peripheral edema. Which of the following assessments should the nurse perform to confirm peripheral edema?
Correct Answer: A
Rationale: To confirm peripheral edema in a child, the nurse should palpate the dorsum of the child's feet by pressing a fingertip against a bony prominence for 5 seconds. This assessment helps detect the presence of pitting edema, which is characterized by an indentation that remains after the pressure is released.