Questions 69

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ATI RN Nursing Care of Children 2019 Questions

Extract:

Infant with intussusception


Question 1 of 5

A nurse is assessing an infant who has intussusception. Which of the following findings should the nurse expect?

Correct Answer: C

Rationale: A sausage-shaped mass is characteristic of intussusception, caused by intestinal telescoping.

Extract:

15-month-old child scheduled for MMR vaccine


Question 2 of 5

A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive the measles, mumps, and rubella (MMR) vaccine. Which of the following findings should the nurse identify as a contraindication for receiving this vaccine?

Correct Answer: A

Rationale: Neomycin allergy is a contraindication for the MMR vaccine due to potential anaphylaxis.

Extract:

5-year-old child following a tonsillectomy and adenoidectomy


Question 3 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:

School-age child with seizure disorder


Question 4 of 5

A nurse is providing teaching to the guardians of a school-age child who has a seizure disorder. Which of the following factors should the nurse include as a common trigger that increases the risk of seizures?

Correct Answer: D

Rationale: Lack of sleep is a well-documented seizure trigger in children with epilepsy.

Extract:

Infant with failure to thrive


Question 5 of 5

A charge nurse is planning care for an infant who has failure to thrive. Which of the following actions should the nurse include in the plan of care?

Correct Answer: C

Rationale: Consistent caregivers build trust, supporting feeding and growth in infants with failure to thrive.

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