ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
10-year-old with extensive partial and full-thickness burns of the head, neck, and chest.
Question 1 of 5
A nurse in the emergency department is caring for a 10-year old child who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?
Correct Answer: C
Rationale: C: Airway obstruction is the priority due to burn-related swelling in the head and neck, which can rapidly compromise breathing.
Extract:
Child having a seizure.
Question 2 of 5
A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take?
Correct Answer: A,D,E
Rationale: A: Assessing airway patency ensures breathing during a seizure. D: Side-lying position prevents aspiration. E: Removing objects prevents injury.
Extract:
Adolescent postoperative following scoliosis repair with Harrington rod instrumentation.
Question 3 of 5
A nursing is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: B: Log rolling every 4 hours maintains spinal alignment, protecting the surgical repair.
Extract:
8-year-old child with sickle cell disease, prescribed hydroxyurea 20 mg/kg per dose, weighs 55 lb.
Question 4 of 5
A health care provider has prescribed hydroxyurea 20 mg/kg per dose by mouth to an 8 year old child as part of a treatment regimen for sickle cell disease. This is a safe dose. The child weighs 55 lb. How many milligrams should the nurse administer? Enter only the number.
Correct Answer: A
Rationale: Weight: 55 lb/ 2.2 = 25 kg. Dose: 25 kg x 20 mg/kg = 500 mg. Correct answer: A (500 mg).
Extract:
13-year-old adolescent after a near-drowning/submersion event, coughing, difficulty breathing, O2 saturation 90% on room air, RR 26/min, HR 102/min.
Question 5 of 5
A 13 year old adolescent is brought to the Emergency Department after a near-drowning/submersion event. The child is coughing and having difficulty breathing. O2 saturation is 90% in room air, RR=26/min, HR=102/min. What is the priority intervention for the nurse to take?
Correct Answer: D
Rationale: D: Administering oxygen addresses hypoxemia, the priority in respiratory distress post-near-drowning.