ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A child who has a suspected diagnosis of bacterial meningitis.
Question 1 of 5
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?
Correct Answer: D
Rationale: Placing the child in isolation is the priority to prevent the spread of bacterial meningitis, which is highly contagious.
Extract:
A 2-year-old child at a well-child visit. Parent expresses concern about the child's increasing temper tantrums and difficult behaviors.
Question 2 of 5
A nurse is assessing a 2-year-old child at a well-child visit. The child's parent expresses concern about the child's increasing temper tantrums and difficult behaviors. Which of the following statements should the nurse respond with?
Correct Answer: C
Rationale: Explaining that temper tantrums are normal for toddlers, who are starting to develop a sense of autonomy, helps reassure the parent that this behavior is typical and part of the child's development.
Extract:
A child who is in sickle cell crisis.
Question 3 of 5
A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Pain is the most common and significant symptom of a sickle cell crisis, caused by the obstruction of blood flow by sickled red blood cells, leading to ischemia and severe pain. This requires immediate attention and pain management.
Extract:
A boy with Tetralogy of Fallot.
Question 4 of 5
The nurse would teach the mother of a boy with Tetralogy of Fallot that if the child suddenly becomes cyanotic and dyspneic, the mother should:
Correct Answer: A
Rationale: The knee-chest position increases systemic vascular resistance, which helps to divert more blood to the pulmonary circulation, improving oxygenation in a child experiencing a 'tet spell' or hypercyanotic episode.
Extract:
An 8-year-old child who has acute rheumatic fever.
Question 5 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.