When developing a home program for self-care, which approach is the most effective?

Questions 94

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Pediatric ATI Practice Questions Questions

Question 1 of 9

When developing a home program for self-care, which approach is the most effective?

Correct Answer: D

Rationale: The most effective approach when developing a home program for self-care is to practice the new steps with the child until they are capable of independently carrying them out at home. This method ensures that the child has mastered the skills before transitioning to independent implementation. It is essential for the child's success in self-care activities and promotes their autonomy and confidence. Requiring the parent to practice the steps regularly and track progress, introducing new programs weekly, or having the parent teach the steps without practice may not be as beneficial in fostering the child's independence and skill acquisition.

Question 2 of 9

In an immunization clinic, which patient will the nurse identify as not eligible to receive routine immunizations?

Correct Answer: C

Rationale: The nurse should identify the 4-year-old with a fever and upper respiratory tract infection as not eligible to receive routine immunizations. It is contraindicated to administer vaccines in the presence of moderate to severe illness, whether with or without fever, to prevent potential complications or reduced vaccine efficacy.

Question 3 of 9

The nurse is reviewing the prescriber’s orders and notes that omeprazole has been order for a patient admitted with acute coronary syndrome (ACS). The nurse should be concerned if this medication is combined with which medication noted on the patient’s record.

Correct Answer: B

Rationale: For patients who lack risk factors for GI bleeding, combined use of clopidogrel with a PPI, may reduce the effects of clopidogrel without offering any real benefits and thus should be avoided.

Question 4 of 9

During an assessment, a healthcare professional is evaluating an infant with pneumonia. Which of the following findings should be the priority for the healthcare professional to report to the provider?

Correct Answer: A

Rationale: When assessing an infant with pneumonia, the priority finding to report to the provider is nasal flaring. Nasal flaring indicates acute respiratory distress, which can be a life-threatening condition requiring immediate intervention. Monitoring and addressing respiratory distress take precedence over other symptoms or laboratory results in this situation.

Question 5 of 9

A healthcare professional is preparing to administer a vaccine to a child who has hemophilia. Which of the following actions should the healthcare professional take?

Correct Answer: B

Rationale: Administering the vaccine intramuscularly to a child with hemophilia is preferred to reduce the risk of bleeding. Hemophiliac individuals have a decreased ability to form blood clots, and administering vaccines intramuscularly reduces the risk of bleeding compared to subcutaneous administration. Using an appropriate needle length and applying pressure to the site post-injection are important steps, but choosing the intramuscular route is crucial in this case to minimize bleeding complications.

Question 6 of 9

Which type of food is the most difficult to swallow?

Correct Answer: C

Rationale: Chopped meat is the most difficult to swallow as it requires thorough chewing and coordination to avoid swallowing hazards, making it more challenging compared to raw vegetables, strained fruit, and mashed vegetables.

Question 7 of 9

Normal values (reference intervals) are difficult to establish within the pediatric population. Many variables should be considered when developing reference intervals. All the following are variables that commonly considered to define reference intervals EXCEPT

Correct Answer: D

Rationale: Subclinical disease is not typically used as a variable for defining reference intervals.

Question 8 of 9

When providing teaching to the family of a school-age child with juvenile idiopathic arthritis, which instruction should the nurse include?

Correct Answer: B

Rationale: Encouraging the child to perform independent self-care is essential when managing juvenile idiopathic arthritis. This instruction helps minimize pain and stiffness in the child's joints while promoting mobility and independence. It is crucial for the child to learn self-management skills early to cope better with the condition in the long term.

Question 9 of 9

Which of the following is MOST likely considered a risk factor for extraneural metastasis in primary brain tumors?

Correct Answer: A

Rationale: Younger age is a significant risk factor for extraneural metastasis in pediatric brain tumors.

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