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ATI Pediatric Exam Nursing 228 Questions

Extract:

A macrosomic infant


Question 1 of 5

A macrosomic infant in the newborn nursery is being observed for a possible fractured clavicle. For which would the nurse assess? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Asymmetrical movement, bruising, edema, and grimacing indicate a possible clavicle fracture, while a Babinski reflex is unrelated.

Extract:

A 20-hour-old neonate suspected of having polycythemia


Question 2 of 5

A 20-hour-old neonate is suspected of having polycythemia. Which nursing intervention(s) will the nurse utilize to provide care for this neonate? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: Early feedings, oxygen monitoring, lab tests, urinary output checks, and IV insertion address hypoglycemia, oxygenation, diagnosis, renal function, and potential transfusion needs in polycythemia.

Extract:

A 3-year-old


Question 3 of 5

The nurse is providing teaching about accidental poisoning to the family of a 3-year-old. The nurse understands that a child of this age is at increased risk of accidental ingestion due to which sensory alteration?

Correct Answer: D

Rationale: A 3-year-old's less discriminating sense of taste increases the risk of ingesting harmful substances, as they may not distinguish dangerous items by taste.

Extract:

A 5-month-old boy


Question 4 of 5

The nurse is providing anticipatory guidance to a mother of a 5-month-old boy about introducing solid foods. Which statement by the mother indicates that effective teaching has occurred?

Correct Answer: C

Rationale: A thin cereal consistency is appropriate for a 5-month-old's first solid food, indicating the mother understands the correct introduction method.

Extract:

A newborn with a chest X-ray showing a ground glass pattern


Question 5 of 5

While reviewing a newborn's medical record, the nurse notes that the chest X-ray shows a ground glass pattern. The nurse interprets this as indicative of.

Correct Answer: D

Rationale: A ground glass pattern on a newborn's chest X-ray is characteristic of respiratory distress syndrome, caused by surfactant deficiency in premature infants.

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