ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection.
Question 1 of 5
A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?
Correct Answer: D
Rationale: Allowing the child to play with a needleless syringe and a doll is therapeutic as it gives the child a sense of control and understanding of the injection process, helping to reduce fear and anxiety.
Extract:
An 8-year-old child who has acute rheumatic fever.
Question 2 of 5
A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?
Correct Answer: B
Rationale: Auscultating the rate and characteristics of the child's heart sounds is the priority assessment because acute rheumatic fever can cause carditis, which affects the heart valves and can lead to serious complications. Early detection of any cardiac involvement is crucial for timely intervention and management.
Extract:
A client who is postoperative following an appendectomy and is prescribed D, lactated Ringer's at 150 mL/hr by continuous IV Infusion for 12 hr. The drop factor of the manual IV tubing is 20 gtt/mL.
Question 3 of 5
A nurse is caring for a client who is postoperative following an appendectomy and is prescribed D, lactated Ringer's at 150 mL/hr by continuous IV Infusion for 12 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: Calculate: (150 mL * 20 gtt/mL) / 720 min = 4.1666 gtt/min, rounded to 4 gtt/min.
Extract:
A child in the immediate postoperative period after a tonsillectomy, spitting up small amounts of blood.
Question 4 of 5
The nurse notices that a child is spitting up small amounts of blood in the immediate postoperative period after a tonsillectomy. What would be the best intervention?
Correct Answer: A
Rationale: Notifying the healthcare provider immediately is the best intervention because spitting up blood post-tonsillectomy could indicate bleeding, which requires prompt medical evaluation and intervention.
Extract:
A parent of a toddler.
Question 5 of 5
A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. Which of the following actions should the nurse suggest to the parent?
Correct Answer: B
Rationale: Ignoring temper tantrums is often recommended because giving attention to the tantrum can reinforce the behavior. Consistently ignoring the tantrum can help decrease their frequency over time.