ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A child who has rheumatic fever. Parent reports: The father had gastritis 2 weeks ago, a neighbor's child has chickenpox, a sibling had a sore throat 3 weeks ago, a classmate has fifth disease.
Question 1 of 5
A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?
Correct Answer: C
Rationale: A sibling who had a sore throat 3 weeks ago is significant because rheumatic fever often follows an untreated or inadequately treated streptococcal throat infection. Recognizing a recent history of streptococcal infection is key to understanding the source of the child's rheumatic fever.
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 child who has otitis media.
Question 3 of 5
A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?
Correct Answer: D
Rationale: Tugging on the ear is a common sign of discomfort in children with otitis media due to pressure and pain in the middle ear.
Extract:
A 6-month-old infant following a procedure.
Question 4 of 5
A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?
Correct Answer: C
Rationale: Increased crying episodes are a common sign of pain in infants, as they often use crying to express discomfort or distress.
Extract:
A school-aged child admitted with a vaso-occlusive sickle cell crisis.
Question 5 of 5
A school-aged child is admitted to the hospital with a vaso-occlusive sickle cell crisis. Which measure in the child's care plan should be given priority?
Correct Answer: B
Rationale: Maintaining hydration through intravenous fluids is the priority as it helps to reduce blood viscosity and prevent further sickling of cells, which is critical in managing a vaso-occlusive crisis.