ATI RN
ATI Pediatrics Exam NUrs 150 exam 3 Swaml Questions
Extract:
A child who is postoperative following a tonsillectomy
Question 1 of 5
A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings is a manifestation of hemorrhage?
Correct Answer: D
Rationale: The correct answer is D: Frequent swallowing. Hemorrhage post-tonsillectomy can present as increased swallowing due to blood in the throat. Drooling (
A) is more indicative of airway obstruction. Poor fluid intake (
B) may suggest dehydration. Increased pain (
C) is common post-surgery. The other choices are not specific to hemorrhage.
Extract:
A child who has cystic fibrosis (CF)
Question 2 of 5
A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "We will give our child pancreatic enzymes with snacks and meals." This response indicates an understanding of the teaching because children with CF often have pancreatic insufficiency, leading to malabsorption of nutrients. Pancreatic enzymes help them digest fats and proteins, ensuring proper nutrition absorption. Restricting salt (
A) is not crucial for CF management. Limiting fluid intake (
B) can lead to dehydration, which is risky for CF patients. Low-fat meals with limited protein (
D) are not ideal as CF patients need a high-calorie diet.
Extract:
A 10-month-old infant who is 8 hours postoperative following cleft palate repair
Question 3 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: The correct answer is A: Apply and release elbow restraints every hour. This intervention helps prevent the infant from touching or injuring the surgical site, promoting healing. Keeping the infant supine (
B) is not specific to cleft palate repair. Feeding with a spoon for 48 hours (
C) is not recommended postoperatively. Suctioning the mouth with an oral suction tube (
D) can increase the risk of infection and disrupt healing.
Extract:
An infant who has gastroesophageal reflux
Question 4 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: The correct answer is D: Place the infant in an infant seat. This position helps to keep the infant upright, which can reduce the likelihood of gastroesophageal reflux. Placing the infant on the left or right side or in a prone position can increase the risk of reflux as it can allow stomach contents to flow back up the esophagus. Placing the infant in an infant seat helps to prevent regurgitation and discomfort after feedings, making it the most appropriate choice in this scenario.
Extract:
A child who is 2 hours postoperative following a tonsillectomy
Question 5 of 5
A nurse is caring for a child who is 2 hours postoperative following a tonsillectomy. Which of the following fluid items should the nurse offer the child at this time?
Correct Answer: D
Rationale: The correct answer is D: Water. Post-tonsillectomy, it is important to offer clear fluids to prevent dehydration and promote healing. Water is the best option as it is non-irritating and helps maintain hydration without risking complications such as aspiration or pain. Cranberry juice (
A) may be too acidic and irritating, vanilla milkshake (
B) is too thick and can cause discomfort, and cubed ice (
C) may be too cold and can potentially increase the risk of bleeding. Overall, water is the safest and most appropriate choice for a child post-tonsillectomy.