Questions 69

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ATI Nur307 Pediatrics Quiz Questions

Extract:


Question 1 of 5

A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?

Correct Answer: A

Rationale: Facial twitching could indicate a neurological problem, such as a seizure, requiring immediate attention in sickle cell anemia.

Extract:

Nurses' Notes: The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis. Medication Administration Record: Diphenhydramine 10 mg PO 4 times per day, Pimecrolimus 1% cream apply to skin lesions daily. Assessment: Child is alert and responsive. Respiratory rate even and nonlabored at rate of 24/min. No adventitious sounds auscultated. Heart rate 108/min. Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities.


Question 2 of 5

Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.

Correct Answer: A,B,D,F,G

Rationale: A: Cutting and filing the child's fingernails frequently can help prevent excessive scratching and further damage to the skin. B: Using a mild detergent reduces the risk of skin irritation and exacerbation of atopic dermatitis. D: Atopic dermatitis tends to have periodic flare-ups, so it's important to inform the guardian about this aspect of the condition. F: Applying gloves to the child's hands can prevent scratching and further skin damage. G: Emollients help to moisturize the skin and improve its barrier function, which is important in managing atopic dermatitis.

Extract:


Question 3 of 5

A nurse is preparing to administer immunizations to a 5-year-old child who is up-to-date with the current immunization schedule. Which of the following immunizations should the nurse plan to administer?

Correct Answer: A

Rationale: A 5-year-old should receive the varicella vaccine if not previously administered.

Question 4 of 5

A nurse is teaching a newly-licensed nurse about age-appropriate guidelines to prepare a school-age child for a procedure. Which of the following statements indicates that the newly-hired nurse understands the teaching?

Correct Answer: A

Rationale: Using simple diagrams is effective for explaining procedures to school-age children, aiding their understanding.

Question 5 of 5

A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?

Correct Answer: C

Rationale: Vomiting is a sign of digoxin toxicity, requiring immediate attention to reassess the dose and check for other toxicity signs.

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