Questions 69

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ATI RN Nursing Care of Children 2019 Questions

Extract:

6-month-old infant with respiratory syncytial virus


Question 1 of 5

A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider?

Correct Answer: B

Rationale: Oxygen saturation below 90% or central cyanosis indicates severe hypoxemia, requiring immediate intervention to ensure adequate oxygenation.

Extract:

Female infant requiring urine collection bag


Question 2 of 5

A nurse is preparing to collect a urine specimen from a female infant using a urine collection bag. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: A snug diaper secures the bag, ensuring accurate urine collection without leakage.

Extract:

Adolescent with NG tube for enteral feeding


Question 3 of 5

A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: Checking gastric pH confirms NG tube placement, preventing feeding errors.

Extract:

5-year-old child following a tonsillectomy and adenoidectomy


Question 4 of 5

A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?

Correct Answer: C

Rationale: Continuous swallowing suggests bleeding, as the child swallows blood from the surgical site.

Extract:

7-year-old student


Question 5 of 5

A nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse?

Correct Answer: C

Rationale: Bruising around the wrists is suspicious for physical abuse, as it's uncommon in typical childhood activities.

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