ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
Childhood psychosis may include all the following EXCEPT
Correct Answer: D
Rationale: Acute phobic hallucination is not a recognized feature of childhood psychosis.
Question 2 of 5
Immunotherapy provides symptomatic improvement in all of the following EXCEPT
Correct Answer: C
Rationale: Immunotherapy is not effective for anaphylaxis to a wasp sting, as it is an acute, life-threatening reaction requiring immediate epinephrine.
Question 3 of 5
A parent of a child with acute renal failure (ARF) asks why peritoneal dialysis was chosen instead of hemodialysis. Which is the best response?
Correct Answer: C
Rationale: The controlled, gradual fluid removal with peritoneal dialysis is more suitable for pediatric patients.
Question 4 of 5
Risk factors for obstructive sleep apnea syndrome include all of the following EXCEPT
Correct Answer: B
Rationale: A small triangular chin is not a typical risk factor for obstructive sleep apnea, whereas retroposition of the mandible, long face, and soft palate abnormalities contribute to airway obstruction.
Question 5 of 5
The patient develops a low-grade fever 18 hours post-operatively and has diminished breath sounds. Which of the following actions is most appropriate for the nurse to take to prevent complications? i.Administer antibiotics iv.Decrease fluid intake ii.Encourage coughing and deepbreathing v.Ambulate patient as ordered iii.Administer acetaminophen (Tylenol)
Correct Answer: A
Rationale: In this scenario, the patient developing a low-grade fever post-operatively along with diminished breath sounds could indicate the possibility of atelectasis or pneumonia. The most appropriate actions for the nurse to take to prevent complications in this situation would be to encourage coughing and deep breathing (to help clear secretions and improve lung expansion) and ambulate the patient as ordered (to promote lung ventilation and prevent further complications). Administering antibiotics, acetaminophen for fever management, and decreasing fluid intake may be considered based on the healthcare provider's assessment and orders, but the immediate nursing interventions to address the presenting symptoms are encouraging coughing and deep breathing and ambulating the patient.