ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 of 5
The nurse should teach parents that which age is safe to give infants whole milk instead of commercial infant formula?
Correct Answer: C
Rationale: The American Academy of Pediatrics recommends introducing whole milk to infants at around 12 months of age. This is because before the age of one, babies need the nutrients and fat found in breast milk, infant formula, or fortified toddler milk. Whole milk is a good source of fat and vitamin D for babies over 12 months old, but it is not recommended for younger infants as it does not have the appropriate balance of nutrients they need for healthy development. Introducing whole milk too early may also increase the risk of certain health issues such as iron deficiency anemia.
Question 2 of 5
A child has a postoperative appendectomy incision covered by a dressing. The nurse has just completed a prescribed dressing change for this child. Which description is an accurate documentation of this procedure?
Correct Answer: C
Rationale: Option C provides a thorough and accurate documentation of the dressing change procedure for the postoperative appendectomy incision. This documentation includes essential details such as the condition of the incision site (non-reddened, sutures intact, no drainage noted on old dressing), the action taken (new dressing applied), and the outcome (procedure tolerated well by the child). It covers all the necessary aspects of the dressing change procedure and clearly indicates the status of the incision site before and after the intervention. Options A, B, and D do not provide as comprehensive and detailed information about the dressing change procedure and its outcomes, making option C the most appropriate choice for accurate documentation.
Question 3 of 5
Latasha, age 8 years, is being admitted to the hospital from the emergency department with an injury from falling off her bicycle. Which will help her most in her adjustment to the hospital?
Correct Answer: A
Rationale: Explaining hospital schedules to Latasha, such as mealtimes, will help her most in adjusting to the hospital environment. Providing her with a sense of routine and structure can help reduce her anxiety and uncertainty during her stay. By knowing when things like meals will happen, Latasha can feel more in control of her surroundings and what to expect, which can be comforting for a child in a new and potentially scary situation like being in the hospital.
Question 4 of 5
A child has been diagnosed with enuresis. TCA imipramine (Tofranil) has been prescribed for the child. The nurse understands that this medication is in which category?
Correct Answer: A
Rationale: Imipramine (Tofranil) is a tricyclic antidepressant (TCA) that is commonly used to treat enuresis in children. Enuresis is a condition characterized by involuntary urination, especially observed during sleep in children who are old enough to have bladder control. Imipramine works by affecting the balance of certain neurotransmitters in the brain, which helps regulate the bladder and reduce involuntary urination. While imipramine has antidepressant properties, it is also effective in treating enuresis by reducing the frequency of bedwetting episodes.
Question 5 of 5
The nurse is teaching the parents of a child recently diagnosed with ADHD who has been prescribed methylphenidate (Ritalin). Which should the nurse include in teaching about the side effects of methylphenidate?
Correct Answer: A
Rationale: Methylphenidate (Ritalin) is a stimulant medication commonly used in the treatment of ADHD. One of the possible side effects of methylphenidate is an increase in nervousness or jitteriness. This side effect is more common at the beginning of treatment or when the dosage is increased. It is important for parents to be aware of this potential side effect and to inform the healthcare provider if it becomes bothersome for the child. Other common side effects of methylphenidate may include decreased appetite, insomnia, and stomach upset.