ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A child who is having a seizure.
Question 1 of 5
A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Removing objects from the bed prevents injury, placing the client in a side-lying position reduces aspiration risk, and assessing airway patency ensures adequate breathing. Placing a tongue depressor is contraindicated as it can cause injury.
Extract:
A child who has measles.
Question 2 of 5
A nurse is assisting with the admission of a child who has measles. Which of the following isolation precautions should the nurse initiate?
Correct Answer: D
Rationale: Measles is spread through airborne droplets, so airborne precautions are required to prevent the spread of the virus through the air.
Extract:
A 3-month-old admitted with severe diarrhea. Yesterday, the infant weighed 11 pounds (5 kg). Today, this infant weighs 9 pounds, 8 ounces (4.3 kg).
Question 3 of 5
A 3-month-old is admitted with severe diarrhea. Based on this information the nurse documents that the infant has:
Correct Answer: A
Rationale: A weight loss of 10% or more in infants within a short period is indicative of severe dehydration. The significant weight loss from 5 kg to 4.3 kg confirms this diagnosis.
Extract:
A child who has a suspected diagnosis of bacterial meningitis.
Question 4 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 in an acute care setting. Vital Signs: A: BP 90/52 mm Hg, heart rate 120/min, respirations 28/min, axillary temperature 37.3°C. B: BP 79/40 mm Hg, heart rate 135/min, respirations 32/min, oral temperature 38°C. C: BP 85/50 mm Hg, heart rate 95/min, respirations 26/min, axillary temperature 36.7°C. D: BP 88/45 mm Hg, heart rate 113/min, respirations 28/min, oral temperature 37.6°C.
Question 5 of 5
A nurse is caring for a 2-year-old child in an acute care setting. Which of the following vital signs require immediate notification to a primary care provider?
Correct Answer: B
Rationale: A blood pressure of 79/40 mm Hg is low for a 2-year-old, and the elevated heart rate of 135/min and increased respirations suggest significant distress or volume depletion, requiring immediate attention.