ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A 6-week-old infant who has a pyloric stenosis.
Question 1 of 5
A nurse is caring for a 6-week-old infant who has a pyloric stenosis. Which of the following clinical manifestations should the nurse expect?
Correct Answer: C
Rationale: Projectile vomiting is a hallmark sign of pyloric stenosis due to the obstruction at the pylorus, preventing food from passing into the small intestine.
Extract:
A newborn who has myelomeningocele.
Question 2 of 5
A nurse is caring for a newborn who has myelomeningocele. Which of the following nursing goals has the priority in the care of this infant?
Correct Answer: B
Rationale: Maintaining the integrity of the sac is the priority in managing myelomeningocele to prevent rupture or infection, protecting the spinal cord and nerves.
Extract:
A 2-month-old infant who is postoperative following repair of a cleft lip and palate. The provider prescribes restraints.
Question 3 of 5
A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. The provider prescribes restraints. The nurse should apply which of the following types of restraints for this infant?
Correct Answer: C
Rationale: Elbow restraints are typically used for infants following oral surgeries to prevent them from putting their hands to their mouth, important for cleft lip and palate repairs.
Extract:
A 3-year-old child suspected to have a developmental delay.
Question 4 of 5
A nurse is assessing a 3-year-old child and suspects the child may have a developmental delay. Which of the following actions is a priority for the nurse to take?
Correct Answer: A
Rationale: The priority is to discuss the findings with the primary care provider to determine the next steps in diagnosis and intervention. Early identification and referral are crucial for addressing developmental delays.
Extract:
A child in the immediate postoperative period after a tonsillectomy, spitting up small amounts of blood.
Question 5 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.