ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
5-year-old child with meningitis.
Question 1 of 5
A nurse is caring for a 5 year old child with meningitis. Which of the following signs or symptoms may indicate increased intracranial pressure in this child?
Correct Answer: C
Rationale: C: Headache and vomiting are classic signs of increased intracranial pressure in a 5-year-old with meningitis.
Extract:
5-month-old infant scheduled for a lumbar puncture to rule out meningitis.
Question 2 of 5
A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: B: Flexing the chin and knees opens the spinal canal, facilitating a safe lumbar puncture.
Extract:
11-year-old diagnosed 2 years ago with tonic-clonic seizure disorder. Three months ago, neurologist changed the child's antiepileptic medications to include Phenytoin due to increasing number of seizures per guardian. Diagnostic Results 1030: WBC count 8,500/mm3, RBC count 4.2, Hemoglobin 11 g/dL, Hematocrit 40%, Platelet count 216,000/mm3, Phenytoin Level: 6 mcg/mL (10 to 20 mcg/mL), Liver Enzymes: ALT 32units/L, ALP 240units/L, AST 44units/L, Albumin 4.1 g/dL, Total protein 6.5, Direct bilirubin 0.3 mg/dL, Indirect bilirubin 0.8 mg/dL. Vital Signs 0900: Temperature 36.8° C (98.2° F), Heart rate 80/min, Respiratory rate 22/min, Blood pressure 116/78 mm Hg, SaO2 94% on room air. Nurses Notes 0900: Child reports a harsh non-productive cough worse when playing outside and at night, feels short of breath during coughing episodes. Guardian reports 3 seizures over the past week, last one yesterday morning, tonic-clonic, lasted 2 minutes. Child is alert, oriented. Noted dry, hyperpigmented, patchy, itchy skin in antecubital area with scratch marks and dried blood. Child has a 1-year history of mild exercise-induced asthma, prescribed albuterol prn.
Question 3 of 5
The client is at risk for developing due to .
Correct Answer: A,B
Rationale: A: Stevens-Johnson syndrome is a severe skin reaction linked to phenytoin, especially with recent onset of itchy, hyperpigmented skin patches. B: The skin rash, with scratching and blood, is a warning sign for potential progression to Stevens-Johnson syndrome.
Extract:
10-year-old with extensive partial and full-thickness burns of the head, neck, and chest.
Question 4 of 5
A nurse in the emergency department is caring for a 10-year old child who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?
Correct Answer: C
Rationale: C: Airway obstruction is the priority due to burn-related swelling in the head and neck, which can rapidly compromise breathing.
Extract:
Child with several bruises noted during assessment.
Question 5 of 5
A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: A: Obtaining a detailed history is the first step to understand the cause of the bruises, guiding whether further action like reporting abuse is needed.