Questions 64

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ATI Nur235 Pediatrics Final Exam Questions

Extract:

4-year-old with acute diarrhea and mild dehydration, afebrile, active, and alert.


Question 1 of 5

A clinic nurse is caring for a 4-year-old client with acute diarrhea and mild dehydration who is afebrile, active, and alert. The nurse is providing instructions to the parent. Which statement by the parent indicates understanding?

Correct Answer: B

Rationale: Oral rehydration in small amounts is appropriate for mild dehydration in an alert child.

Extract:

13-year-old 2 days post-operative from laparoscopic appendectomy, 37.1°C, pain 3/10, diminished breath sounds in lower lobes.


Question 2 of 5

The nurse is caring for a 13-year-old who is 2 days post-operative from a laparoscopic appendectomy. Upon assessment, the nurse notes the following vital signs: 37,1°C (98.8°F), a pain rating of 3 out of 10, and breath sounds are diminished in the lower lobes. What action should the nurse take first?

Correct Answer: D

Rationale: Incentive spirometry improves lung expansion, addressing diminished breath sounds and preventing atelectasis.

Extract:

Adolescent with a fiberglass cast for a fractured tibia.


Question 3 of 5

A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. What is the priority action for the nurse to take following this treatment?

Correct Answer: D

Rationale: A neurovascular assessment ensures no compromise to blood flow or sensation, critical to detect complications like compartment syndrome.

Extract:

14-year-old client with celiac disease.


Question 4 of 5

The nurse is caring for a 14-year-old client diagnosed with celiac disease. The nurse knows that the client understands the diet instructions when they request which of the following meals?

Correct Answer: B

Rationale: Cheese, banana, rice cakes, and milk are gluten-free, suitable for celiac disease.

Extract:

Pediatric client diagnosed with pyloric stenosis.


Question 5 of 5

The nurse is reviewing the record of a pediatric client diagnosed with pyloric stenosis. Which assessment finding would the nurse expect to find in the electronic health record?

Correct Answer: A

Rationale: Projectile vomiting is a hallmark of pyloric stenosis due to obstruction by the thickened pylorus muscle.

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