ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
An infant whose guardian reports intermittent vomiting for several days. Guardian reports infant has been forcefully vomiting after feedings. Infant is very fussy and rooting and sucks vigorously on a pacifier. Axillary temperature: 38.2° C (100.8° F), Heart rate: 152/min, Respiratory rate: 30/min. Mucus membranes are dry. Anterior fontanel depressed and soft. Small amount of urine noted in the diaper, dark in color. Upper portion of the abdomen is distended. Palpable olive-shaped mass noted in the right mid-abdominal region. Ultrasound shows a mass that encircles the pyloric canal consistent with hypertrophic pyloric stenosis.
Question 1 of 5
A nurse is caring for an infant whose guardian reports intermittent vomiting for several days. Which of the following actions should the nurse take? (Select all that apply)
Correct Answer: B,C,D
Rationale: Measuring head circumference monitors for increased intracranial pressure due to dehydration. Weighing the infant assesses weight loss from vomiting. Monitoring intake and output manages hydration status.
Extract:
A 10-year-old child who will be hospitalized for an extended period of time.
Question 2 of 5
A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client's psychosocial needs according to Erikson?
Correct Answer: C
Rationale: Encouraging the child to complete school work helps maintain a sense of normalcy and supports the child's need for achievement and competence, central to Erikson's stage of industry vs. inferiority.
Extract:
A child with sickle cell anemia.
Question 3 of 5
The nurse is instructing the parents of a child with sickle cell anemia on safety precautions. What should the nurse emphasize during this teaching?
Correct Answer: D
Rationale: Ensuring adequate hydration is crucial for preventing sickle cell crises. Dehydration can increase blood viscosity, leading to sickling of the red blood cells and subsequent pain and complications.
Extract:
Children in general.
Question 4 of 5
When planning care for children, the nurse knows that which factor has the largest impact but is not able to be altered to influence the growth and development of children?
Correct Answer: A
Rationale: Genetics plays the most significant role in a child's growth and development, determining many physical and psychological traits. However, it cannot be altered.
Extract:
A 2-month-old infant who is postoperative following surgical repair of a cleft lip.
Question 5 of 5
A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Encouraging the parents to rock the infant provides comfort and soothes the baby without risking harm to the surgical site. Parental involvement also helps with bonding and emotional support during recovery.