ATI RN
Pediatric Respiratory Nursing Questions Questions
Question 1 of 5
A young child has an intelligence quotient (IQ) of 40. The nurse would document this finding as
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Moderate cognitive impairment. An intelligence quotient (IQ) of 40 in a young child indicates moderate cognitive impairment. This level of IQ typically corresponds to significant limitations in intellectual functioning and adaptive behaviors. Option A) Mild cognitive impairment is incorrect as an IQ of 40 falls below the threshold for mild impairment. Mild cognitive impairment usually corresponds to IQ levels between 55-70. Option C) Severe cognitive impairment is also incorrect as an IQ of 40 does not meet the criteria for severe impairment. Severe impairment is typically associated with IQ levels between 25-40. Option D) Profound cognitive impairment is not the correct answer in this case as an IQ of 40 does not reach the level of profound impairment. Profound impairment is generally associated with IQ levels below 25. In an educational context, understanding the varying levels of cognitive impairment is crucial for nurses caring for pediatric patients with developmental challenges. Recognizing the level of impairment can guide appropriate interventions, support services, and educational strategies to meet the individual needs of the child. It is important for nurses to be able to accurately assess and document cognitive functioning to provide optimal care and support for their patients.
Question 2 of 5
Which are appropriate interventions to facilitate socialization of the cognitively impaired child?
Correct Answer: C
Rationale: The correct answer is option C) Provide peer experiences, such as scouting, when older. Facilitating socialization for cognitively impaired children is crucial for their development. Peer experiences allow these children to interact with others, learn social cues, and develop communication skills. Scouting and similar activities provide structured environments where they can engage with peers in a supportive setting, fostering social growth and a sense of belonging. Option A is incorrect because while physical skills may be delayed in some cognitively impaired children, socialization and communication skills are equally important and should not be neglected. Option B is incorrect because avoiding exposure to strangers hinders the child's opportunities for social learning and integration into society. It is essential for children, including those with cognitive impairments, to interact with various individuals to develop social skills. Option D is incorrect as providing age-appropriate toys and play activities is important for overall development but may not specifically target socialization skills. While play is beneficial, structured peer interactions offer a more intentional and effective approach to improving socialization skills in cognitively impaired children. In an educational context, understanding the importance of socialization for cognitively impaired children is key for healthcare providers, caregivers, and educators. Encouraging and facilitating peer experiences, such as scouting, can significantly enhance these children's quality of life and long-term outcomes by promoting social skills, self-confidence, and independence.
Question 3 of 5
A mother brings her 4-month-old infant in for a routine checkup and vaccinations. The mother reports that the infant was exposed to a brother who has the flu. Which action by the nurse is most appropriate based on these assessment findings?
Correct Answer: C
Rationale: In this scenario, the most appropriate action is option C: Give the vaccinations as scheduled. The rationale behind this is that exposure to someone with the flu does not contraindicate routine vaccinations. Vaccinations are crucial for preventing serious infectious diseases in infants, and delaying them could leave the infant vulnerable to preventable illnesses. Option A is incorrect because withholding only one vaccination based on flu exposure is not necessary. Option B is also incorrect as withholding all vaccinations is not recommended unless there is a specific contraindication. Option D is incorrect as there is no need to prioritize the flu vaccination over other routine vaccinations in this situation. From an educational standpoint, it is essential for nurses to understand the importance of vaccination schedules and to follow evidence-based practices. Educating parents about the benefits and safety of vaccinations, even in the presence of minor illnesses or exposures, is crucial to promoting public health and protecting vulnerable populations like infants.
Question 4 of 5
A nurse is caring for a child with sickle cell anemia. Which finding would require immediate intervention?
Correct Answer: B
Rationale: In caring for a child with sickle cell anemia, the finding that would require immediate intervention is decreased urine output (Option B). This is indicative of vaso-occlusive crisis, a common complication in sickle cell disease where sickled red blood cells block blood flow, leading to tissue ischemia and organ damage. In this scenario, decreased urine output suggests potential renal compromise, which requires prompt assessment and intervention to prevent further complications like acute kidney injury. Option A, a temperature of 101°F (38.3°C), while indicating a low-grade fever, may be common in sickle cell patients due to infections, pain crises, or other stressors. It would warrant monitoring and further assessment but may not necessitate immediate intervention unless other concerning symptoms are present. Leg pain and tenderness (Option C) are typical manifestations of vaso-occlusive crises in sickle cell disease and would need evaluation and pain management, but they do not indicate an immediate life-threatening situation requiring urgent intervention. Slight pallor (Option D) is a common finding in anemia, including sickle cell anemia, and does not typically warrant immediate intervention unless it is severe and accompanied by other critical symptoms like tachycardia or hypotension. Educationally, understanding the specific complications and manifestations of sickle cell anemia is crucial for nurses caring for pediatric patients with this condition. Recognizing the signs of vaso-occlusive crises and knowing when to intervene promptly can help prevent serious complications and improve outcomes for these vulnerable patients. Regular assessments and prompt response to changes in condition are essential in managing sickle cell disease effectively.
Question 5 of 5
The nurse is assessing a child with a recent diagnosis of asthma. Which statement by the parent indicates the need for further teaching?
Correct Answer: C
Rationale: The correct answer is C) "I can stop the daily controller medication once the child feels better." This statement indicates a need for further teaching because controller medications for asthma are meant to be taken daily, even when the child feels better, in order to prevent asthma symptoms and exacerbations. Stopping the controller medication abruptly can lead to worsening of symptoms and potential asthma attacks. Option A is correct because keeping the child's rescue inhaler with them at all times is a good practice in case of an asthma attack. Option B is also correct as reducing exposure to triggers like dust and pet dander can help in managing asthma symptoms. Option D is correct as regular follow-up visits with the healthcare provider are essential to monitor the child's asthma control, adjust medications as needed, and provide ongoing education and support to the child and family. Educationally, this question emphasizes the importance of adherence to asthma medications, the need for ongoing management and monitoring, and the role of the healthcare provider in supporting families with children diagnosed with asthma. It highlights the significance of patient education in managing chronic conditions like asthma effectively.