Questions 64

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ATI PN Pediatrics Nursing 2023 II Questions

Extract:


Question 1 of 5

A nurse is collecting data from an adolescent client 24 hours after surgery. Which of the following findings should the nurse report to the primary health care provider?

Correct Answer: C

Rationale: Increased weight-bearing ability on the affected leg is typically an expected finding, especially as the client begins to recover postoperatively. Enhanced weight-bearing suggests improving strength, mobility, and healing in the affected limb. It does not usually indicate complications. Warmth extending from the left calf to the knee could indicate localized inflammation or infection, but without additional findings like swelling or pain, it's less urgent. A temperature of 38.8° C (101.8° F) suggests a possible systemic infection, such as a postoperative wound infection, and must be reported promptly for evaluation to prevent complications like sepsis. Itching in bilateral antecubital spaces may indicate a mild allergic reaction or irritation but is not urgent unless accompanied by severe symptoms.

Question 2 of 5

A nurse is preparing to administer a vaccine to a toddler. Which of the following actions should the nurse plan to take?

Correct Answer: C

Rationale: The dorsogluteal muscle risks sciatic nerve injury in toddlers; the anterolateral thigh is preferred. Massaging may cause irritation. Consent is essential for legal and ethical compliance. Aspiration is unnecessary per current guidelines.

Question 3 of 5

A nurse is caring for a toddler who has been vomiting for the past 8 hours. Which of the following findings indicates dehydration?

Correct Answer: A,B,C,D

Rationale: A sunken anterior fontanel suggests reduced intracranial pressure from dehydration. Increased pulse rate compensates for reduced circulating volume. Dry mucous membranes result from fluid depletion. Irritability occurs due to electrolyte imbalance and hypovolemia, all indicating dehydration.

Question 4 of 5

A nurse is reinforcing dietary teaching with the guardians of a toddler. Which of the following snack foods should the nurse recommend?

Correct Answer: A

Rationale: Hard-boiled eggs are safe and nutritious. Grapes, carrots, and popcorn pose choking risks.

Question 5 of 5

A nurse is reinforcing teaching with a group of first-time parents about injury prevention for infants. Which of the following information should the nurse include?

Correct Answer: C

Rationale: One-piece pacifiers with loops reduce choking risks. Adjustable rails, walkers, and plastic coverings increase injury risks.

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