Questions 69

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ATI Nur307 Pediatrics Quiz Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Repositioning with a turning sheet prevents movement of the halo device and injury to the cervical spine.

Question 2 of 5

A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, 'I don't understand why they need to do this procedure.' Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Notifying the provider ensures the guardian receives a full explanation from the responsible clinician for informed consent.

Question 3 of 5

A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 12.5 mL

Rationale: 1. Convert 55 lb to kg: 55 / 2.2 = 25 kg. 2. Calculate dose: 10 mg/kg x 25 kg = 250 mg. 3. Calculate volume: 250 mg / (100 mg/5 mL) = 12.5 mL.

Question 4 of 5

A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?

Correct Answer: B

Rationale: The lateral position, with the child curled up in a fetal position, is ideal for a lumbar puncture as it opens up the spaces between the vertebrae for easier access.

Question 5 of 5

A nurse is assessing a child who has measles. Which of the following areas should the nurse inspect for Koplik spots?

Correct Answer: C

Rationale: Koplik spots appear on the inside of the cheeks, opposite the lower molars, in measles, identifiable as white or bluish-white spots.

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