ATI RN
NCLEX Pediatric Respiratory Wong Nursing Questions Questions
Question 1 of 5
Which is a common initial reaction of parents to illness or injury and hospitalization of their child?
Correct Answer: D
Rationale: The correct answer is D) Helplessness. When a child becomes ill or injured requiring hospitalization, parents often experience a sense of helplessness. This reaction is common as parents may feel overwhelmed by the situation, unable to directly fix or control their child's health issues. This feeling of helplessness can stem from not being able to protect their child from harm or alleviate their suffering immediately. Option A) Indifference is incorrect because it is rare for parents to be indifferent to their child's illness or injury, especially when hospitalization is required. Parents typically show concern and care for their child's well-being. Option B) Anger is incorrect because while some parents may feel anger in response to their child's illness or injury, it is not typically the most common initial reaction. Anger may surface later as a secondary response to the stress and emotional turmoil of the situation. Option C) Depression is incorrect as the initial reaction of parents is usually not depression. While feelings of sadness and despair may arise during the course of treatment, it is not typically the immediate response to a child's hospitalization. Educationally, understanding the common emotional responses of parents to their child's illness or injury is crucial for healthcare providers, especially nurses. By recognizing and acknowledging these emotions, nurses can provide appropriate support, empathy, and guidance to help parents cope effectively during their child's hospitalization. It is essential for nurses to offer emotional support and resources to help parents navigate through their feelings of helplessness, fear, and uncertainty during such challenging times.
Question 2 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 3 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 4 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.
Question 5 of 5
A nurse is assessing a child with suspected appendicitis. Which of the following findings would indicate a ruptured appendix?
Correct Answer: B
Rationale: In the context of assessing a child with suspected appendicitis, the finding of abdominal distension and tenderness would indicate a ruptured appendix. This is because when the appendix ruptures, it leads to the spilling of infected contents into the abdominal cavity, causing inflammation and distension. Abdominal tenderness is also a common sign of a ruptured appendix due to the irritation and inflammation in the abdominal area. The other options are not indicative of a ruptured appendix: A) A low-grade fever is a common symptom in appendicitis before rupture, but it is not specific to a ruptured appendix. C) An increased heart rate is a general sign of stress or infection in the body and can be present in various conditions, including uncomplicated appendicitis. D) Decreased blood pressure is not typically associated with a ruptured appendix unless severe complications like sepsis have developed, which would be a later-stage manifestation. In an educational context, understanding the progression of appendicitis from initial presentation to potential complications like rupture is crucial for nurses caring for pediatric patients. Recognizing the signs of a ruptured appendix promptly is essential for timely intervention and preventing further complications. This question highlights the importance of thorough assessment skills and knowledge of pediatric abdominal conditions in nursing practice.