ATI RN Pediatrics Nursing 2023 | Nurselytic

Questions 145

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ATI RN Pediatrics Nursing 2023 Questions

Extract:


Question 1 of 5

A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?

Correct Answer: C

Rationale: The correct answer is C: Dietitian. Children with cystic fibrosis often require specialized nutritional support due to malabsorption issues. A dietitian can assess the child's nutritional status, provide individualized dietary plans, and monitor their growth. Referring to an occupational therapist (
A) may not be the priority as there are no indications of specific occupational therapy needs. Speech-language pathologists (
B) primarily address communication and swallowing disorders, which are not the main concerns in cystic fibrosis. Physical therapists (
D) focus on mobility and physical function, which are not the primary issues in cystic fibrosis management.

Question 2 of 5

A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?

Correct Answer: D

Rationale: The correct answer is D: Continuous swallowing. Following a tonsillectomy and adenoidectomy, continuous swallowing can indicate hemorrhage as the child may be swallowing blood. This finding is crucial as it can lead to airway compromise and further complications.
A: Heart rate 54/min is not necessarily indicative of hemorrhage in this context.
B: Flushing of the face could be a sign of fever or anxiety, not necessarily hemorrhage.
C: Blood pressure 95/56 mm Hg alone may not be a clear indication of hemorrhage in this case.

Extract:

A nurse in a school-based health center is educating a group of adolescents about prevention and treatment of sexually transmitted infections (STIs).


Question 3 of 5

Which of the following information should the nurse include in the teaching?

Correct Answer: C

Rationale: The correct answer is C: Prompt treatment can prevent complications of STIs. This information is crucial for patients to understand the importance of seeking treatment early to prevent serious consequences such as infertility or chronic health issues.
Choice A is incorrect because abstinence is an effective way to prevent STIs.
Choice B is incorrect as adolescents are at a high risk for contracting STIs due to factors such as lack of experience with protection.
Choice D is incorrect as having one sexual partner does not guarantee protection from STIs.

Extract:


Question 4 of 5

A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?

Correct Answer: B

Rationale:
Correct Answer: B


Rationale: Walking the bicycle through intersections is a crucial safety measure to prevent accidents. This instruction ensures that the child is visible to drivers and reduces the risk of collisions. Additionally, walking the bicycle allows the child to have better control and stability while navigating intersections.

Incorrect

Choices:
A: Incorrect because the child's feet should be able to touch the ground comfortably while seated on the bicycle for stability and safety.
C: Incorrect because riding the bicycle against the flow of traffic increases the risk of accidents as drivers may not anticipate the child's movements.
D: Incorrect because keeping the bicycle at least 3 feet from the curb is a guideline for riding on the street, not for general bicycle safety.
E, F, G: No other options provided.

Extract:

A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm.


Question 5 of 5

Which of the following information is the priority for the nurse to include?

Correct Answer: C

Rationale: The correct answer is C: Monitor for pallor or swelling in the child's affected hand. This is the priority because it indicates potential complications like impaired circulation or infection, which can be serious. Restricting activities (
A) is important but not as critical as monitoring for complications. Using a hair dryer (
B) can cause burns or damage to the cast. Examining for skin irritation (
D) is important but not as urgent as monitoring for circulation issues.

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