Questions 64

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ATI Nur235 Pediatrics Final Exam Questions

Extract:

7-year-old experiencing enuresis.


Question 1 of 5

A nurse has developed a plan of care for a family whose 7-year-old has been experiencing enuresis. Which of the following statements by the parents indicates that further teaching is needed?

Correct Answer: B

Rationale: Limiting daytime fluids can cause dehydration; evening fluid restriction is more appropriate for enuresis management.

Extract:

3-year-old child with 160 mL urine output over 8 hours, weighing 33 lb.


Question 2 of 5

A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hour period. The child weighs 33 lb. After calculating the client's urinary output, which action is appropriate?

Correct Answer: D

Rationale: The urine output of 1.3 mL/kg/hr is within the normal range (1-2 mL/kg/hr) for a 15 kg child, so continued monitoring is appropriate.

Extract:

School-age child with juvenile idiopathic arthritis (JIA).


Question 3 of 5

A nurse is providing discharge instructions to a parent and their school-age child who has juvenile idiopathic arthritis (JIA). What should the nurse include in the discharge instructions to the family?

Correct Answer: A

Rationale: Notifying the provider if NSAIDs are ineffective ensures timely escalation to other treatments like DMARDs.

Extract:

Pediatric client with nephrotic syndrome.


Question 4 of 5

A nurse is caring for a pediatric client who has been admitted with nephrotic syndrome. Which medication should the nurse expect to administer for the therapeutic management of nephrotic syndrome?

Correct Answer: D

Rationale: Prednisone reduces inflammation and proteinuria, key in managing nephrotic syndrome.

Extract:

Child with HIV reviewing immunization schedule.


Question 5 of 5

The nurse is reviewing the immunization schedule with the parent of a child who is positive for human immunodeficiency virus (HIV). What statement by the parents indicates that teaching has been effective?

Correct Answer: A

Rationale: Withholding the varicella vaccine during symptomatic HIV illness prevents complications due to compromised immunity.

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