The priority nursing action for a child with epiglottitis is

Questions 56

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ATI Practice Questions Pediatrics Questions

Question 1 of 9

The priority nursing action for a child with epiglottitis is

Correct Answer: B

Rationale: Airway patency B is critical in epiglottitis, per document p22, 5.

Question 2 of 9

Which nursing actions are appropriate when providing care to a toddler-aged patient who is restrained to protect an incision after a surgical procedure? Select one that does not apply.

Correct Answer: C

Rationale: Least restrictive methods , proper orders , activities , and hygiene checks ensure safety and development. Removal every 4 hours is too infrequent; every 2 hours is standard.

Question 3 of 9

A 2-week-old infant presents with jaundice and poor feeding. Labs show direct bilirubin of 5 mg/dL. The next step is:

Correct Answer: C

Rationale: Abdominal ultrasound evaluates conjugated hyperbilirubinemia (direct bilirubin >2 mg/dL) for biliary atresia, per AAP. A, D-E are for indirect jaundice, B is invasive.

Question 4 of 9

An African American woman noticed some bruises on her newborn girl’s buttocks. She asks the nurse who spanked her daughter. The nurse explains that these marks are called

Correct Answer: D

Rationale: Mongolian spots D are benign, blue-gray marks common in darker-skinned newborns, per document .

Question 5 of 9

Lissencephaly is a disorder of what stage of neural development?

Correct Answer: C

Rationale: Lissencephaly, a smooth brain appearance, results from defective neuronal migration (Choice C) during weeks 8-14 of gestation, impairing cortical layer formation. Myelination (Choice A) occurs later. Neuronal and glial proliferation (Choice B) precedes migration. Neuronal organisation (Choice D) follows migration. Migration defects cause lissencephaly’s hallmark.

Question 6 of 9

The nurse should teach parents of a child with diabetes to recognize

Correct Answer: D

Rationale: All D are diabetes emergencies, per document p34, 6.

Question 7 of 9

A 3-month-old infant presents with apnea and cyanosis. EEG shows epileptiform activity. Most likely diagnosis is:

Correct Answer: C

Rationale: Seizure disorder fits apnea, cyanosis, and EEG findings, per AAP. A, B, D, E lack epileptiform activity.

Question 8 of 9

A 2-year-old boy presents with abdominal pain and currant jelly stools. Ultrasound confirms intussusception. The next step is:

Correct Answer: C

Rationale: Barium enema reduces intussusception, per AAP. A, B, D, E are secondary.

Question 9 of 9

A 4-year-old boy presents with fever and a swollen elbow. Aspiration yields gram-positive cocci. Most likely diagnosis is:

Correct Answer: A

Rationale: Septic arthritis features fever, swelling, and gram-positive cocci, per AAP. B-E lack infection.

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