A 7-month-old has been admitted to the hospital with a diagnosis of acute gastroenteritis. The priority goal of the infant's care is to prevent which of the following?

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ATI PN Pediatrics Proctored Exam 2020 Questions

Question 1 of 4

A 7-month-old has been admitted to the hospital with a diagnosis of acute gastroenteritis. The priority goal of the infant's care is to prevent which of the following?

Correct Answer: C

Rationale: Preventing fluid and electrolyte imbalance (C) is the priority in gastroenteritis due to dehydration risk. Nutrition (A), skin (B), and malabsorption (D) are secondary. Document: 'The priority goal… is preventing fluid and electrolyte imbalance.'

Question 2 of 4

The anxious parent asks if there is a danger of her 2-year-old child becoming addicted to the opioid pain reliever. The nurse's most helpful response would be:

Correct Answer: C

Rationale: Opioid addiction is rare in children when used for pain (C), reassuring parents with evidence. A overcomplicates, B minimizes, D shifts focus. Document: 'Addiction is rare in children.'

Question 3 of 4

The nurse is admitting a child with Kawasaki disease. The symptom she should recognize for this.

Correct Answer: D

Rationale: Peeling palms and soles (D) is a hallmark of Kawasaki disease’s convalescent phase. Respiratory distress (A), hyperlipidemia (B), and GERD (C) are unrelated. Document: 'The child with Kawasaki disease has… desquamation (peeling) of palms and soles.'

Question 4 of 4

Which sign or symptom observed in a sleeping 2 year old child immediately after a tonsillectomy necessitates reporting and follow up care?

Correct Answer: D

Rationale: Frequent swallowing (D) post-tonsillectomy suggests bleeding, needing urgent follow-up. Pulse (A), BP (B), and nausea (C) are less specific. Document: 'Frequent swallowing… is an early sign of bleeding.'

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