Questions 51

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ATINur2708 Pediatrics Final Exam Questions

Extract:

Child diagnosed with medical abuse by his mother, suspected of Munchausen syndrome by proxy.


Question 1 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:

12-month-old child diagnosed with congenital cerebral palsy.


Question 2 of 5

A parent brings a 12-month-old child diagnosed with congenital cerebral palsy to the clinic. The nurse completes an assessment. Which assessment finding does the nurse determine needs immediate intervention?

Correct Answer: B

Rationale: B: Suspected failure to thrive indicates potential nutritional or health issues, requiring immediate intervention.

Extract:

Child who ingested laundry detergent pods (Tide pods).


Question 3 of 5

A nurse is caring for a child who ingested laundry detergent pods (Tide pods). Which of the following assessments is the nurse's priority?

Correct Answer: A

Rationale: A: Respiratory status is the priority due to the risk of aspiration or airway swelling from chemical irritation, which can be life-threatening.

Extract:

Client with a cervical spinal cord injury from a fall.


Question 4 of 5

A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications?

Correct Answer: A,B,C,E

Rationale: A: Hypotension occurs in neurogenic shock from cervical injuries. B: Hyperthermia results from impaired temperature regulation. C: Weakened gag reflex increases aspiration risk. E: Absence of bowel sounds indicates paralytic ileus, a common complication.

Extract:

Child with juvenile idiopathic arthritis.


Question 5 of 5

The physician of a child with juvenile idiopathic arthritis asks the nurse to telephone the school to arrange a new activity program for her. A change the nurse would anticipate arranging for the child is to:

Correct Answer: B

Rationale: B: Modifying the exercise program accommodates joint health, allowing safe participation in activities.

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