ATI RN
Pediatric Respiratory Nursing Questions Questions
Question 1 of 5
Before the repair of his lip & palate defects, the physician will probably order that Homer be fed by:
Correct Answer: D
Rationale: In the case of a child with lip and palate defects, such as cleft lip and cleft palate, feeding can be challenging due to difficulties with sucking and swallowing. The correct answer, option D) Rubber tipped medicine dropper, is the most suitable method for feeding Homer before his lip and palate defects are repaired. This is because a rubber tipped medicine dropper allows for controlled and precise delivery of small amounts of liquid, making it easier for the infant to swallow without the risk of aspiration. Option A) breast feeding may not be feasible in this situation as the baby may have difficulty latching properly due to the structural abnormalities in the lip and palate. Option B) using a metal cup could be dangerous as there is a risk of the infant aspirating or choking on the liquid. Option C) intravenous fluid is not necessary for feeding a child with lip and palate defects unless there are other medical complications that require intravenous hydration. In an educational context, it is important for pediatric nurses to understand the specific needs of infants with congenital anomalies, such as cleft lip and palate, and to be able to provide appropriate feeding methods to ensure optimal nutrition and growth. By choosing the correct feeding method, nurses can help prevent complications and promote the health and well-being of these vulnerable patients.
Question 2 of 5
A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. Which would the nurse explain?
Correct Answer: C
Rationale: The correct answer is C) A topical anesthetic, EMLA, can be applied before injections are given. This option is correct because it addresses the mother's concern about the discomfort associated with injections in her infant. By using a topical anesthetic like EMLA before administering immunizations, the nurse can help minimize the pain and discomfort for the infant, making the experience less distressing for both the child and the parent. Option A) Infants do not feel pain as adults do is incorrect because infants do experience pain, although their expression of pain may be different from that of adults. It is important to acknowledge and address their pain during medical procedures. Option B) This cannot be prevented is incorrect because there are strategies, such as using topical anesthetics, that can help reduce the discomfort associated with injections for infants. Option D) This is not a good reason for refusing immunizations is incorrect because while the mother's concern about discomfort is valid, it should not be the sole reason for refusing important immunizations that protect the infant from serious diseases. It is important for the nurse to address the mother's concerns while emphasizing the benefits of immunizations for the child's health and well-being in the long run. In an educational context, it is crucial for nurses to understand and address parental concerns regarding their child's healthcare, including immunizations. By providing education and support, nurses can help parents make informed decisions that are in the best interest of their child's health. Using strategies like topical anesthetics can also help improve the overall experience of medical procedures for infants and their families.
Question 3 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 4 of 5
The nurse is assessing a child with herpetic gingivostomatitis. The nurse wears gloves when examining the lesions. This nursing action is
Correct Answer: B
Rationale: In pediatric nursing, it is crucial to understand the rationale behind infection control practices, especially when dealing with infectious conditions like herpetic gingivostomatitis. Wearing gloves when examining lesions in a child with this condition is necessary because the herpes simplex virus can easily enter the body through breaks in the skin, providing a barrier to prevent transmission to the nurse or from the nurse to the child. Option A is incorrect because herpetic gingivostomatitis is not sexually transmitted; it is typically spread through oral secretions. Option C is incorrect as wearing gloves is necessary regardless of whether the nurse touches their own mouth or not to prevent cross-contamination. Option D is also incorrect as the herpes simplex virus is highly contagious, especially through direct contact with infected lesions. From an educational perspective, understanding the rationale behind using appropriate personal protective equipment like gloves in pediatric nursing not only ensures the safety of healthcare providers but also prevents the spread of infectious diseases among vulnerable populations. This question highlights the importance of infection control practices and their application in pediatric respiratory nursing to provide safe and effective care to children with communicable diseases.
Question 5 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.