ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A child who is experiencing a seizure.
Question 1 of 5
A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action is to position the child laterally. This helps prevent aspiration and maintains an open airway. Restraining the child's arms can cause injury. Using a padded tongue blade is unnecessary during a seizure. Attempting to stop the seizure is not within the nurse's scope; focus should be on safety and support.
Extract:
A 10-year-old child following a cardiac catheterization.
Question 2 of 5
A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Give the child acetaminophen for discomfort. After cardiac catheterization, the child may experience discomfort or pain at the catheter insertion site. Acetaminophen can help alleviate this discomfort.
B: Assisting the child to take a tub bath for the first 3 days may increase the risk of infection at the catheter site.
C: Keeping the child home for 1 week is not necessary unless there are specific complications.
D: Offering clear liquids for the first 24 hr is not related to post-cardiac catheterization care.
In summary, choice A is correct as it addresses the potential discomfort following the procedure, while the other choices are incorrect as they do not directly relate to the child's post-catheterization care.
Extract:
A child with laryngotracheobronchitis (Croup).
Question 3 of 5
Which measure would be most effective in aiding bronchodilation in a child with laryngotracheobronchitis (Croup)?
Correct Answer: A
Rationale: The correct answer is A: Assisting with racemic epinephrine nebulizer therapy. Racemic epinephrine is a vasoconstrictor that helps reduce airway swelling, aiding in bronchodilation in a child with laryngotracheobronchitis. This therapy can quickly alleviate respiratory distress. Option B, urging oral fluids, may help with hydration but does not directly address bronchodilation. Option C, teaching slow breaths, is not as effective as medication for immediate relief. Option D, an oral analgesic, does not target airway inflammation. It is crucial to prioritize bronchodilation in this scenario.
Extract:
A client who has asthma.
Question 4 of 5
A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?
Correct Answer: D
Rationale: The correct answer is D: Oral mucosa. Central cyanosis is caused by decreased oxygen levels in the arterial blood. The oral mucosa is a highly vascular area, making it a reliable indicator of central cyanosis as it reflects the oxygen saturation of arterial blood. Conjunctivae, ear lobes, and soles of the feet are less reliable indicators as they are not as vascular as the oral mucosa. Evaluating the oral mucosa can provide a quick and accurate assessment of central cyanosis in a client with asthma.
Extract:
A school-aged child with sickle-cell anemia.
Question 5 of 5
The nurse is assessing a school-aged child with sickle-cell anemia. Which assessment finding is consistent with this child's diagnosis?
Correct Answer: C
Rationale: The correct answer is C: Slightly yellow sclera. This finding is consistent with sickle-cell anemia due to hemolysis of red blood cells, leading to an increase in bilirubin levels and jaundice, resulting in yellowing of the sclera. Enlarged mandibular growth (
A) is not associated with sickle-cell anemia. Depigmented areas on the abdomen (
B) are not typical findings. Increased growth of long bones (
D) is not directly related to sickle-cell anemia.