ATI RN
FNP Pediatric Practice Questions Questions
Question 1 of 5
Nurse Kevin is assessing a newborn for developmental dysplasia of the hip (DDH); he would expect to assess which of the following?
Correct Answer: B
Rationale: Developmental dysplasia of the hip (DDH) is a condition where the hip joint does not properly form in babies and young children. To assess for DDH, healthcare professionals like Nurse Kevin utilize the Ortolani test. Ortolani's sign is a physical exam maneuver where the healthcare provider will gently manipulate the baby's hips to detect if there is a dislocated hip joint. Specifically, the Ortolani maneuver checks for the presence of a "clunk" as the femoral head relocates into the acetabulum, indicating that the hip joint is dislocated. Therefore, during the assessment of a newborn for DDH, Nurse Kevin would expect to assess for Ortolani's sign as it helps in the diagnosis of developmental dysplasia of the hip.
Question 2 of 5
Which of the following nursing interventions is appropriate after a lumbar puncture?
Correct Answer: A
Rationale: After a lumbar puncture, it is important to have the patient lie flat for 6 to 8 hours to help prevent leakage of cerebrospinal fluid. Keeping the patient in this position can reduce the risk of developing a post-lumbar puncture headache. It allows the tiny hole created in the dura to seal properly and helps maintain proper cerebrospinal fluid pressure. This intervention is essential for the patient's safety and optimal recovery following a lumbar puncture procedure.
Question 3 of 5
You are meeting parents of a 5-year-old boy; the mother is wondering about the normal sexual behavior of her child. Of the following, the sexual behavior that is considered HIGHLY unusual in this age group is
Correct Answer: D
Rationale: Imitating adult sexual behaviors is highly unusual and concerning in young children, suggesting possible exposure to inappropriate content or experiences.
Question 4 of 5
A 10-year-old girl needs to have another intravenous (IV) line started. She keeps telling the nurse, "Wait a minute" and "I'm not ready." The nurse should recognize this as which description?
Correct Answer: A
Rationale: This is normal behavior for a school-age child. School-age children often assert their independence and control in various situations, such as medical procedures. It is common for children in this age group to express hesitation or resistance when faced with something uncomfortable or unfamiliar, like starting an IV line. The child's behavior of saying "Wait a minute" and "I'm not ready" is a typical response for a 10-year-old girl and does not necessarily indicate manipulation, punishment perception, or behavior typical of younger children. In this case, the nurse should acknowledge the child's feelings, provide reassurance, and offer explanations to help her feel more comfortable and in control of the situation.
Question 5 of 5
A client has just completed a course in radiation therapy and is experiencing radio-dermatitis. The most effective method of treating the skin is to:
Correct Answer: C
Rationale: Radio-dermatitis is a common side effect of radiation therapy, characterized by inflammation and irritation of the skin. Applying a cream or lotion to the affected area can help soothe the skin, reduce inflammation, and provide relief from symptoms such as itching and discomfort. It is important to choose a cream or lotion that is specifically designed for sensitive skin and recommended by healthcare professionals to ensure effectiveness and safety in managing radio-dermatitis. Washing the area with soap and warm water may further irritate the skin, while leaving the skin alone may prolong discomfort and delay healing. Avoiding creams or lotions may lead to dryness and further discomfort.