ATI RN
ATI Custom Pediatric exam 1 Questions
Extract:
A 4-year-old child who is 2 days postoperative following the insertion of a ventriculoperitoneal shunt
Question 1 of 5
A nurse is caring for a 4-year-old child who is 2 days postoperative following the insertion of a ventriculoperitoneal shunt. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: Lethargy. Following a ventriculoperitoneal shunt insertion, lethargy in a child could indicate increased intracranial pressure, a potentially life-threatening complication. The priority is to assess for signs of neurological deterioration promptly. Urine output (
B) is important but not as urgent as assessing neurological status. Lying flat on the unaffected side (
C) is not a priority; positioning can be adjusted later. Respiratory rate (
D) within normal range is reassuring but not the priority in this case.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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