ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
13-year-old adolescent after a near-drowning/submersion event, coughing, difficulty breathing, O2 saturation 90% on room air, RR 26/min, HR 102/min.
Question 1 of 5
A 13 year old adolescent is brought to the Emergency Department after a near-drowning/submersion event. The child is coughing and having difficulty breathing. O2 saturation is 90% in room air, RR=26/min, HR=102/min. What is the priority intervention for the nurse to take?
Correct Answer: D
Rationale: D: Administering oxygen addresses hypoxemia, the priority in respiratory distress post-near-drowning.
Extract:
Clinical manifestations of acromegaly.
Question 2 of 5
Clinical manifestations of acromegaly include:
Correct Answer: A,B,C,F
Rationale: A: Skin tags develop due to hormonal changes. B: Voice softening occurs from vocal cord enlargement. C: Muscle weakness results from hormonal effects. F: Soft tissue swelling is caused by excess growth hormone.
Extract:
Child diagnosed with medical abuse by his mother, suspected of Munchausen syndrome by proxy.
Question 3 of 5
A child has been diagnosed with medical abuse by his mother who is suspected of Munchausen syndrome by proxy. When setting goals, which is of the highest priority?
Correct Answer: C
Rationale: C: Establishing the child's safety is the priority to prevent further harm from medical abuse.
Extract:
13-year-old daughter reporting headaches, grades dropped, sleeping late and going to bed early.
Question 4 of 5
A mother is telling the school nurse about her concerns regarding her 13-year-old daughter, who reports headaches. The child's grades have dropped, and the child is sleeping late and going to bed early every night. Which would the nurse identify as the priority?
Correct Answer: A
Rationale: A: A history and physical examination is the priority to rule out medical causes for headaches and behavioral changes.
Extract:
5-month-old infant scheduled for a lumbar puncture to rule out meningitis.
Question 5 of 5
A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: B: Flexing the chin and knees opens the spinal canal, facilitating a safe lumbar puncture.