Questions 48

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ATI Pediatrics Exam NURS 243 Spring 2014 Questions

Extract:

A 3-year-old child with moderate dehydration.


Question 1 of 5

A 3-year-old child is admitted to a pediatric unit with moderate dehydration. The nurse would expect to see which of the following assessment findings in this child?

Correct Answer: D

Rationale: Moderate dehydration in a 3-year-old is indicated by poor skin turgor, oliguria, and a slightly elevated pulse (150 bpm), reflecting fluid loss and compensatory tachycardia.

Extract:

A toddler having a temper tantrum.


Question 2 of 5

The nurse is providing parents with suggestions about the appropriate actions to take when their toddler is having a temper tantrum. Which statement by the parents indicates an understanding?

Correct Answer: B

Rationale: Ignoring the tantrum unless there's physical danger avoids reinforcing the behavior, promoting self-regulation once the child calms down.

Extract:

A newborn suspected to have esophageal atresia.


Question 3 of 5

The nurse is caring for a newborn suspected to have esophageal atresia. Which of the following interventions must be the FIRST priority?

Correct Answer: D

Rationale: Elevating the head 30-35 degrees prevents aspiration of gastric contents due to potential tracheoesophageal fistula, a critical concern in esophageal atresia.

Extract:

An 18-month-old with high fever, coughs hard, and has a runny nose; a one-year-old with a slight fever, a rash, and green secretions.


Question 4 of 5

Which child requires urgent care?

Correct Answer: A

Rationale: High fever and hard coughing in an 18-month-old suggest a serious respiratory infection, requiring urgent care over a one-year-old's milder symptoms.

Extract:

An infant.


Question 5 of 5

When performing a physical assessment on an infant, the nurse understands that which of the following techniques will aid in the ability to complete the examination?

Correct Answer: A,C,D,E

Rationale: Parental presence, auscultating first, gentle voice, and starting with head assessments reduce infant distress, while expecting cooperation is unrealistic.

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