ATI RN
ATI Pediatrics Exam NUrs 150 exam 3 Swaml Questions
Extract:
A client who is postoperative following a tonsillectomy
Question 1 of 5
A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy. Which of the following actions should the nurse plan to take to prevent aspiration? Select all that apply
Correct Answer: A,B,E
Rationale: Withholding fluids until the gag reflex returns, suctioning the nasopharynx, and administering antiemetics prevent aspiration by ensuring airway protection and reducing vomiting. Humidifiers aid comfort, not aspiration prevention, and chest physiotherapy risks bleeding.
Extract:
A 10-month-old infant who is 8 hours postoperative following cleft palate repair
Question 2 of 5
A nurse is planning care for a 10-month-old infant who is 8 hours postoperative following cleft palate repair. Which of the following interventions should the nurse include in the infant's plan of care?
Correct Answer: A
Rationale: Applying and releasing elbow restraints every hour prevents the infant from touching or injuring the surgical site while allowing some movement and circulation. Keeping the infant supine increases aspiration risk, feeding with a spoon may cause trauma, and suctioning the mouth can damage the palate.
Extract:
An infant who has gastroesophageal reflux
Question 3 of 5
A nurse is caring for an infant who has gastroesophageal reflux. The nurse should place the infant in which of the following positions following feedings?
Correct Answer: D
Rationale: Placing the infant in an upright position in an infant seat helps gravity keep stomach contents down, reducing reflux. Left or right side positions are less effective, and prone positioning increases SIDS risk.
Extract:
A child who has Hirschsprung disease and is scheduled for initial surgery
Question 4 of 5
A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: The initial surgery for Hirschsprung disease creates a temporary ostomy, closed in a later surgery. Normal bowel movements, feeding tubes, or catheters are not relevant post-surgery.
Extract:
A child following a tonsillectomy
Question 5 of 5
A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?
Correct Answer: B
Rationale: Frequent swallowing indicates possible bleeding from the surgical site, as the child tries to clear blood. Thirst, mouth breathing, and pain are not specific to hemorrhage.