Questions 36

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ATI RN Test Bank

ATI Nurs 243 Pediatrics Exam Questions

Extract:

A child who has hemiplegic cerebral palsy.


Question 1 of 5

A home health nurse is doing the first intake visit for a child who has hemiplegic cerebral palsy. When developing a plan of care for this child, which of the following goals is the priority for the nurse to include in the plan of care?

Correct Answer: B

Rationale: Modifying the home for safety is the priority because children with hemiplegic cerebral palsy have motor impairments that increase their risk for accidents and injuries. A safe environment is essential for the child’s well-being.

Extract:

Patients with 24-hour Holter monitor diaries.


Question 2 of 5

The nurse is reviewing 24-hour Holter monitor diaries of various patients. Which of the following entries is the MOST complete?

Correct Answer: B

Rationale: This entry is the most complete as it includes the time, activity (basketball practice), symptom (dizziness), absence of loss of consciousness, and relevant detail (no caffeine intake), giving a comprehensive picture of the patient's experience.

Extract:

A school aged child with ADHD, prescribed dexamethylphenidate 10mg before breakfast and lunch.


Question 3 of 5

The nurse is assessing a school aged child with ADHD. The child is prescribed dexamethylphenidate 10mg before breakfast and lunch. Which of the following findings is of MOST concern to the nurse?

Correct Answer: C

Rationale: A blood pressure reading of 140/90 is concerning as it indicates hypertension, which can be a side effect of stimulant medications like dexamethylphenidate.

Extract:

A child hospitalized with acute glomerulonephritis.


Question 4 of 5

The parents of a child, hospitalized with acute glomerulonephritis, ask the nurse why blood pressure readings are being taken so often. Which of the following statements will guide the nurse's response to the parents?

Correct Answer: A

Rationale: Acute hypertension is a common complication of acute glomerulonephritis and requires frequent monitoring to prevent severe consequences.

Extract:

A 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 is the MOST important for the nurse to include in the plan of care?

Correct Answer: C

Rationale: Holding the infant in the correct position (chin to chest and knees to abdomen) is crucial for obtaining an accurate sample of cerebrospinal fluid and ensuring the procedure is performed safely.

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