ATI PN Pediatrics nursing 2023

Extract:

Question 1 of 5

A nurse is preparing to administer an enteral feeding to a preschooler who has a nasogastric tube. Which of the following actions should the nurse plan to take?

A. Administer the formula immediately after removing it from the refrigerator. B. Administer the feeding at a rate of 3 mL/min. C. Elevate the head of the bed to a 45-degree angle. D. Discard residual fluid aspirated from the stomach prior to the feeding.

Correct Answer: C

Rationale: Elevating the bed to 45 degrees prevents aspiration and aids digestion. Cold formula causes discomfort, 3 mL/min is too slow, and discarding residuals risks electrolyte loss unless excessive.

Question 2 of 5

A nurse in a family practice clinic is collecting data from a school-age child. Which of the following behavioral findings should the nurse identify as a possible indication of sexual abuse?

A. Destructive B. Withdrawn C. Manipulative D. Perfectionistic

Correct Answer: B

Rationale: Withdrawn behavior is a common sign of sexual abuse, reflecting fear or shame. Destructive, manipulative, or perfectionistic behaviors may indicate other issues but aren't primary abuse indicators.

Question 3 of 5

A nurse is reinforcing teaching with a parent of a toddler about viral conjunctivitis. Which of the following information should the nurse include in the teaching?

A. Maintain continuous cool eye compresses B. Apply the antibiotic eye ointment in the morning C. Cleanse the eye by wiping downward outward from the inner canthus D. Use a corticosteroid ointment until the infection subsides

Correct Answer: C

Rationale: Wiping outward from the inner canthus prevents infection spread. Continuous compresses, antibiotics (for viral infection), and corticosteroids are inappropriate or risky.

Question 4 of 5

A nurse is monitoring the vital signs of a 6-year-old child following a surgical procedure. Which of the following findings should the nurse report to the provider?

A. Heart rate 59 bpm B. Respiratory rate 24/min C. Axillary temperature 37.3Â°C (99.1Â°F) D. Blood pressure 96/58 mmHg

Correct Answer: A

Rationale: A heart rate of 59 bpm is bradycardic for a 6-year-old (normal 70-120 bpm) and may signal complications like hypoxia, requiring reporting. Other values are within normal ranges.

Question 5 of 5

A nurse is preparing to administer three medications to a child who is receiving continuous enteral feedings via a gastrostomy tube. Which of the following actions should the nurse take?

A. Flush the gastrostomy tube with 10 mL of formula between each medication. B. Dilute viscous medications with water. C. Add the medications to the bag of formula. D. Combine the medications together in one syringe.

Correct Answer: B

Rationale: Diluting viscous medications with water prevents clogging and ensures delivery. Flushing with formula, adding to the bag, or combining medications risks interactions or blockages.

ATI PN Pediatrics nursing 2023 | Nurselytic

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