ATI RN
NCLEX Pediatric Respiratory Wong Nursing Questions Questions
Question 1 of 5
The primary goal in caring for the child with cognitive impairment is to
Correct Answer: A
Rationale: In caring for a child with cognitive impairment, the primary goal is to promote optimum development (Option A). This goal is essential as it focuses on enhancing the child's overall growth and reaching their full potential despite their cognitive challenges. By providing appropriate stimulation, support, and interventions tailored to the child's specific needs, healthcare providers can help them achieve the highest level of functioning possible. Option B, developing vocational skills, may not be the primary goal at this stage as the immediate focus should be on addressing the child's developmental needs. Vocational skills can be important later in life but promoting optimum development comes first. Encouraging play (Option C) is certainly beneficial for children with cognitive impairment as it supports their cognitive, social, and emotional development. However, it is not the primary goal; rather, it is a means to achieve the broader goal of promoting optimum development. Option D, helping families develop a care plan and ensuring its adherence, is important for overall care coordination. While involving families in care planning is crucial, the primary goal remains promoting the child's optimum development. In an educational context, understanding the primary goal of caring for children with cognitive impairment is fundamental for nurses and healthcare providers. It guides their interventions, treatment plans, and interactions with both the child and their family. By focusing on promoting optimum development, healthcare professionals can make a significant impact on the child's quality of life and future outcomes.
Question 2 of 5
A nurse is planning to administer recommended immunizations to a 4-year-old child. Which of the following vaccines should the nurse plan to give? (Select one that doesn't apply.)
Correct Answer: C
Rationale: In this scenario, the correct answer is option C) Hepatitis B (HepB). The rationale behind this is that the Hepatitis B vaccine is typically administered to infants shortly after birth and is part of the recommended childhood immunization schedule. At 4 years of age, a child would have already received the initial doses of the Hepatitis B vaccine. Options A, B, and D are not the correct answers in this case: A) Inactivated poliovirus (IPV) is typically administered at 2 months, 4 months, 6-18 months, and 4-6 years of age. B) Haemophilus influenzae type b (Hib) vaccine is usually given at 2, 4, 6, and 12-15 months of age. D) Diphtheria, tetanus, and acellular pertussis (DTaP) vaccine is administered at 2, 4, 6, 15-18 months, and 4-6 years of age. In an educational context, understanding the appropriate timing and administration of vaccines is crucial for nurses caring for pediatric patients. By knowing the recommended schedule for each vaccine, nurses can ensure that children receive the necessary immunizations at the right time to protect them from preventable diseases. It is important to stay up-to-date with current immunization guidelines to provide safe and effective care to pediatric populations.
Question 3 of 5
A child presents with a fever, cough, and difficulty breathing. Which of the following interventions should the nurse perform first?
Correct Answer: C
Rationale: The correct answer is C) Assess the child's oxygen saturation. In a pediatric patient presenting with a fever, cough, and difficulty breathing, it is crucial to assess their oxygen saturation as the first step. This is because difficulty breathing can indicate respiratory distress, and assessing oxygen saturation will provide important information about the child's respiratory status and the need for immediate intervention. Administering a fever-reducing medication (Option A) is not the priority in this case because the child's difficulty breathing takes precedence over the fever. Placing the child in a cool, well-ventilated room (Option B) may be helpful, but it does not address the immediate need to assess the child's respiratory status. Encouraging the child to drink fluids (Option D) is also important but not as urgent as assessing the oxygen saturation. In an educational context, understanding the prioritization of interventions in pediatric respiratory distress is essential for nurses caring for children. Recognizing the signs of respiratory distress, such as difficulty breathing, and knowing the appropriate interventions can help prevent complications and improve patient outcomes. Nurses must be able to quickly assess and respond to respiratory issues in pediatric patients to provide timely and effective care.
Question 4 of 5
A nurse is assessing a child with a fever. The nurse recognizes that a fever is typically an indicator of
Correct Answer: C
Rationale: The correct answer is C) The body's immune response to infection. Fever is a common symptom in pediatric patients and is typically the body's natural response to fighting off infection. When a child has an infection, their body releases chemicals that trigger the immune system to raise the body's temperature. This elevated temperature helps the body combat the invading pathogens by making it a less favorable environment for them to thrive. Option A) A severe bacterial infection is incorrect because fever can be present in both bacterial and viral infections, not just severe bacterial ones. Option B) An allergic reaction is incorrect because while fever can sometimes be a symptom of a severe allergic reaction, it is more commonly associated with infections. Option D) Heat exhaustion is incorrect because heat exhaustion is a result of prolonged exposure to high temperatures and dehydration, not necessarily related to fever. Understanding the rationale behind fever in pediatric patients is crucial for nurses to accurately assess and manage their patients. Recognizing fever as a sign of the body's immune response to infection helps guide appropriate interventions and treatment plans to support the child's recovery.
Question 5 of 5
A nurse is assessing a child with asthma. Which of the following signs or symptoms would indicate that the child's asthma is poorly controlled?
Correct Answer: C
Rationale: In the context of assessing a child with asthma, frequent nighttime awakenings due to coughing would indicate that the child's asthma is poorly controlled. This is because nighttime coughing is a common symptom of asthma exacerbation and indicates increased airway inflammation and constriction during the night. Option A, the child using a peak flow meter daily, is actually a sign of good asthma management as it helps monitor lung function and detect early signs of worsening asthma. Option B, the child being able to perform normal activities without limitations, could be misleading as asthma symptoms can vary throughout the day and may not be reflective of the overall control of the condition. Option D, the child having no difficulty breathing during physical activity, does not specifically address nighttime symptoms, which are crucial indicators of asthma control. Educationally, understanding the signs of poorly controlled asthma in children is essential for nurses caring for pediatric patients with asthma. Recognizing nighttime symptoms is particularly important as they can impact a child's sleep quality and overall health. Nurses must be vigilant in assessing and monitoring asthma symptoms to provide timely interventions and prevent exacerbations.