ATI RN
Pediatric Respiratory Nursing Questions Questions
Question 1 of 5
Kurt's easy fatigability was probably due to:
Correct Answer: D
Rationale: Rationale: The correct answer is D) Inadequate oxygen to support tissue glucose oxidation for energy. Kurt's easy fatigability can be attributed to inadequate oxygen delivery to tissues, leading to decreased production of ATP through glucose oxidation. Inadequate oxygen supply can result from various respiratory conditions affecting gas exchange in the lungs, such as asthma or pneumonia, which can impair the transportation of oxygen to tissues. Option A) Deficient intake of high caloric and high vitamin containing foods is incorrect because while poor nutrition can contribute to fatigue, in Kurt's case, the symptoms point more towards a physiological issue related to oxygen delivery. Option B) Inadequate development and decreased tone of skeletal muscle is incorrect as the scenario does not suggest any musculoskeletal issues that would lead to easy fatigability. Additionally, the symptoms are more indicative of a systemic issue rather than a localized muscular problem. Option C) Low BP associated with decreased numbers of RBC is incorrect because while low blood pressure and anemia can lead to fatigue, the specific symptoms described in the question are more aligned with oxygen insufficiency rather than blood pressure or red blood cell count issues. Educational Context: Understanding the physiological basis of symptoms like easy fatigability in pediatric patients is crucial for pediatric respiratory nurses. By recognizing the underlying causes, nurses can provide appropriate interventions and treatments to improve the child's quality of life. Respiratory conditions can significantly impact a child's energy levels and overall well-being, making it essential for healthcare providers to have a solid understanding of pediatric respiratory physiology and pathophysiology.
Question 2 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 3 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 4 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 5 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.