ATI RN
NCLEX Pediatric Respiratory Wong Nursing Questions Questions
Question 1 of 5
A nurse is assessing a child with a fever. The nurse recognizes that a fever is typically an indicator of
Correct Answer: C
Rationale: The correct answer is C) The body's immune response to infection. Fever is a common symptom in pediatric patients and is typically the body's natural response to fighting off infection. When a child has an infection, their body releases chemicals that trigger the immune system to raise the body's temperature. This elevated temperature helps the body combat the invading pathogens by making it a less favorable environment for them to thrive. Option A) A severe bacterial infection is incorrect because fever can be present in both bacterial and viral infections, not just severe bacterial ones. Option B) An allergic reaction is incorrect because while fever can sometimes be a symptom of a severe allergic reaction, it is more commonly associated with infections. Option D) Heat exhaustion is incorrect because heat exhaustion is a result of prolonged exposure to high temperatures and dehydration, not necessarily related to fever. Understanding the rationale behind fever in pediatric patients is crucial for nurses to accurately assess and manage their patients. Recognizing fever as a sign of the body's immune response to infection helps guide appropriate interventions and treatment plans to support the child's recovery.
Question 2 of 5
A nurse is assessing a child with suspected appendicitis. Which of the following findings would indicate a ruptured appendix?
Correct Answer: B
Rationale: In the context of assessing a child with suspected appendicitis, the finding of abdominal distension and tenderness would indicate a ruptured appendix. This is because when the appendix ruptures, it leads to the spilling of infected contents into the abdominal cavity, causing inflammation and distension. Abdominal tenderness is also a common sign of a ruptured appendix due to the irritation and inflammation in the abdominal area. The other options are not indicative of a ruptured appendix: A) A low-grade fever is a common symptom in appendicitis before rupture, but it is not specific to a ruptured appendix. C) An increased heart rate is a general sign of stress or infection in the body and can be present in various conditions, including uncomplicated appendicitis. D) Decreased blood pressure is not typically associated with a ruptured appendix unless severe complications like sepsis have developed, which would be a later-stage manifestation. In an educational context, understanding the progression of appendicitis from initial presentation to potential complications like rupture is crucial for nurses caring for pediatric patients. Recognizing the signs of a ruptured appendix promptly is essential for timely intervention and preventing further complications. This question highlights the importance of thorough assessment skills and knowledge of pediatric abdominal conditions in nursing practice.
Question 3 of 5
A nurse is caring for a child with a burn injury. Which of the following interventions should be included in the initial treatment of a burn?
Correct Answer: B
Rationale: In the initial treatment of a burn injury in a child, the priority intervention is to remove the child from the heat source (Option B). This is because stopping the burning process is crucial to prevent further injury and tissue damage. By removing the child from the heat source, the burn can be contained and further injury minimized. Applying cold compresses (Option A) is not recommended as it can lead to vasoconstriction and further damage to the skin. Covering the burn with butter or oil (Option C) is also contraindicated as it can trap heat and increase the risk of infection. Cleaning the burn with soap and water (Option D) is not recommended initially as it can cause further damage and increase the risk of infection. Educationally, it's important for nurses to understand the appropriate first aid measures for burn injuries in children to provide safe and effective care. Teaching this information to nursing students prepares them to respond promptly and effectively in emergency situations involving burn injuries in pediatric patients.
Question 4 of 5
A nurse is caring for a child with a history of chronic asthma. The nurse should educate the parents about which of the following as a key factor in managing the child's condition?
Correct Answer: B
Rationale: The correct answer is B) Using prescribed medications as directed. In managing a child with chronic asthma, using prescribed medications as directed is crucial for controlling and preventing asthma exacerbations. Medications such as bronchodilators and anti-inflammatory drugs help to reduce airway inflammation, open up airways, and decrease the frequency of asthma attacks. Educating parents about the importance of medication adherence empowers them to effectively manage their child's condition and improve their quality of life. Option A) Limiting the child's physical activity is incorrect because regular physical activity is beneficial for children with asthma as it helps to improve lung function and overall health. Option C) Reducing fluid intake during asthma attacks is incorrect as maintaining proper hydration is important, especially during asthma exacerbations, to help thin mucus and keep airways moist. Option D) Encouraging exposure to allergens to build immunity is incorrect as it can trigger asthma symptoms and exacerbate the condition. Avoiding allergen exposure is essential in asthma management. In an educational context, it is crucial for nurses to provide comprehensive asthma management education to parents, including proper medication use, recognizing asthma triggers, and when to seek medical help. This empowers parents to play an active role in managing their child's asthma and promoting better health outcomes.
Question 5 of 5
A nurse is caring for a child with a history of frequent ear infections. The nurse should educate the parents about the importance of keeping the child's ears
Correct Answer: A
Rationale: Educational Rationale: The correct answer is A) Clean and dry. This is because moisture and dirt in the ears can create a breeding ground for bacteria, leading to ear infections. By keeping the child's ears clean and dry, the risk of developing infections is reduced. Educating parents on proper ear hygiene practices is crucial in preventing recurrent ear infections in children with a history of such issues. Option B) Covered with earplugs when swimming is incorrect because while it is important to prevent water from entering the ears during swimming to avoid swimmer's ear, covering the ears with earplugs all the time can also trap moisture and lead to infections. Option C) Rinsed with a vinegar solution is incorrect as this practice is not recommended for routine ear care in children. While vinegar can be used in specific cases under healthcare provider guidance, it is not a general preventive measure for ear infections. Option D) Exposed to cold air to prevent infection is incorrect as exposing the ears to cold air does not prevent ear infections. In fact, sudden exposure to cold air can sometimes cause discomfort and may not be beneficial in preventing infections. In an educational context, it is essential for nurses to provide parents with accurate information and guidance on how to maintain good ear hygiene practices for their children. By explaining the rationale behind the correct answer and debunking misconceptions related to other options, nurses can empower parents to take proactive measures in preventing ear infections in their children.