ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 of 5
A nurse notes that a 12-hour-old newborn has not had the first meconium stool. The nurse documents this finding and continues to monitor the newborn because, in term newborns, the first meconium stool occurs within how many hours of birth?
Correct Answer: A
Rationale: In term newborns, the first meconium stool typically occurs within the first 6 to 8 hours after birth. Meconium is the baby's first stool, and its presence signifies that the baby's gastrointestinal system is functioning properly. If a newborn has not passed meconium within this timeframe, it may indicate an issue such as bowel obstruction that requires further evaluation and intervention. Therefore, the nurse should document and monitor the situation closely to ensure the newborn's health and well-being.
Question 2 of 5
The nurse is taking care of a 7-year-old child with a skin rash called a papule. Which clinical finding should the nurse expect to assess with this type of skin rash?
Correct Answer: A
Rationale: A papule is a small, solid, elevated skin lesion that is less than 1 cm in diameter. It is usually palpable, firm, circumscribed, and can be various colors. Papules do not contain any fluid or pus. In this case, the nurse should expect to assess an elevated lesion that is firm and circumscribed, measuring less than 1 cm in diameter. This description matches option A, making it the correct choice for a papule.
Question 3 of 5
Airborne isolation is required for a child who is hospitalized with:
Correct Answer: B
Rationale: Airborne isolation is needed for a child hospitalized with chickenpox (varicella) because the virus causing chickenpox spreads easily through the air when an infected person coughs or sneezes. The virus can also be transmitted through direct contact with the rash or fluid from the blisters. By implementing airborne precautions, healthcare providers aim to prevent the spread of the virus to other patients, staff, and visitors in the healthcare setting. In contrast, mumps, exanthema subitum (roseola), and erythema infectiosum (fifth disease) are generally not transmitted through airborne routes; therefore, they do not require airborne isolation in a hospital setting.
Question 4 of 5
Rickets is caused by a deficiency in:
Correct Answer: C
Rationale: Rickets is a condition that primarily affects children and is characterized by softening and weakening of the bones, leading to skeletal deformities. This condition is caused by a deficiency in vitamin D and calcium. Vitamin D helps the body absorb calcium from the diet, and together they play a crucial role in bone health and development. Without enough vitamin D and calcium, the bones cannot mineralize properly, resulting in the characteristic symptoms of rickets. Other nutrients like vitamin A, vitamin C, folic acid, and iron do not directly cause rickets.
Question 5 of 5
After the introduction of the Back to Sleep campaign in 1992, an increased incidence has been noted of which of the following pediatric disorders? (Select all that apply.)
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.