ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 of 5
Which approach would be best to use to ensure a positive response from a toddler?
Correct Answer: A
Rationale: The approach that would be best to use to ensure a positive response from a toddler is to assume an eye-level position and talk quietly (Option A). This approach is effective because it demonstrates respect and consideration for the toddler's perspective. By being at the child's eye level, you are showing that you are engaging with them on their level, which can help them feel more comfortable and respected. Additionally, talking quietly can help create a calm and soothing environment, which is often more conducive to getting a positive response from a toddler. This approach shows empathy and understanding towards the toddler's needs and can help in building a positive relationship with them.
Question 2 of 5
What type of breath sound is normally heard over the entire surface of the lungs except for the upper intrascapular area and the area beneath the manubrium?
Correct Answer: A
Rationale: Vesicular breath sounds are normal, low-pitched sounds heard over the majority of the lung surface. They are usually soft and rustling with a longer inspiratory phase than expiratory phase. Vesicular breath sounds are produced by air moving through smaller bronchioles and alveoli. These sounds can be heard over the entire lung surface except for the upper intrascapular area and the area beneath the manubrium, where bronchovesicular breath sounds are typically heard.
Question 3 of 5
The parents of a 9-month-old infant tell the nurse that they have noticed foods such as peas and corn are not completely digested and can be seen in their infant's stools. The nurse's explanation of this is based on which statement?
Correct Answer: D
Rationale: The correct answer is D. This is normal because of the immaturity of digestive processes at this age. At 9 months old, infants are still in the process of developing their digestive system. It is common for them to have difficulty digesting certain foods, especially those high in fiber like peas and corn. This is due to the immaturity of their digestive enzymes and processes. As the infant grows, their digestive system will continue to mature, and they will be able to digest these types of foods more effectively. Therefore, there is no need for further investigation or restriction of solid foods.
Question 4 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 5 of 5
The nurse is teaching parents about appropriate pacifier selection. Which characteristics should the pacifier have? (Select all that apply.)
Correct Answer: B
Rationale: In educating parents about appropriate pacifier selection, it is crucial to emphasize safety and hygiene. The correct answer, B) One-piece construction, is important because pacifiers should be free of small parts that could pose a choking hazard. One-piece construction also prevents bacteria buildup in crevices, promoting easier cleaning and reducing the risk of infections. Option A, Easily grasped handle, is not necessary for a pacifier and could potentially be a safety hazard if it detaches and becomes a choking risk. Option C, Ribbon or string to secure to clothing, is unsafe as it can pose a strangulation risk if it gets wrapped around a child's neck. Option D, Soft, pliable material, is a common characteristic of pacifiers but is not as crucial as the one-piece construction for safety and hygiene reasons. In an educational context, parents should be informed about the importance of selecting pacifiers with one-piece construction to ensure their child's safety and reduce the risk of choking and infections. Emphasizing these points can help parents make informed decisions when choosing pacifiers for their children.