ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A school-age child with bilateral pneumonia and cystic fibrosis. Caregiver reports increased coughing, fatigue, and poor appetite. Wheezing and rhonchi auscultated bilaterally. Frequent cough productive with thick, yellow blood-streaked sputum. Dyspnea noted with activity. Child reports chest discomfort as 4 on a scale of 0 to 10. Consumes approximately 50% of meals. Passed three large, frothy, foul-smelling stools. Vital Signs: Day 1: Oral temperature 39.1° C, Heart rate 116/min, Respiratory rate 32/min, Blood pressure 102/60 mm Hg, Oxygen saturation 95%. Day 3: Oral temperature 38.1° C, Heart rate 128/min, Respiratory rate 32/min, Blood pressure 88/48 mm Hg, Oxygen saturation 88%.
Question 1 of 5
A nurse is caring for a school-age child. Which of the following assessment findings should the nurse report to the provider?
Correct Answer: B,D,E
Rationale:
Extract:
A child who is having a tonic-clonic seizure and vomiting.
Question 2 of 5
A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?
Correct Answer: C
Rationale: Positioning the child side-lying is the priority because it helps maintain an open airway and reduces the risk of aspiration of vomit during the seizure. Protecting the airway is the most critical intervention in this scenario.
Extract:
A child in the immediate postoperative period after a tonsillectomy, spitting up small amounts of blood.
Question 3 of 5
The nurse notices that a child is spitting up small amounts of blood in the immediate postoperative period after a tonsillectomy. What would be the best intervention?
Correct Answer: A
Rationale: Notifying the healthcare provider immediately is the best intervention because spitting up blood post-tonsillectomy could indicate bleeding, which requires prompt medical evaluation and intervention.
Extract:
An adolescent who reports feeling shaky and is having difficulty speaking and concentrating. Blood glucose level is 55 mg/dL.
Question 4 of 5
A school nurse is assessing an adolescent who reports feeling shaky and is having difficulty speaking and concentrating on the questions the nurse is asking. The nurse checks the adolescent's blood glucose level and identifies a value of 55 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Tachycardia is a common symptom of hypoglycemia, as the body releases adrenaline in response to low blood glucose levels, leading to an increased heart rate.
Extract:
A child who has a suspected diagnosis of bacterial meningitis.
Question 5 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.