Questions 46

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ATI N400 Pediatrics Exam 2 Questions

Extract:

A 12-year-old child.


Question 1 of 5

A nurse is preparing to administer digoxin to a 12 year-old child. Prior to administering the dose, the nurse measures the apical heart rate. The nurse should withhold the dose if the child's apical heart rate is less than what rate?

Correct Answer: A

Rationale: A heart rate below 70 beats/min increases the risk of digoxin-induced bradycardia or cardiac complications.

Extract:

An infant following a cleft lip repair surgery.


Question 2 of 5

What is the primary purpose of using elbow restraints (NoNo's) in an infant following a cleft lip repair surgery? To:

Correct Answer: C

Rationale: Elbow restraints prevent touching the surgical site, reducing risk of wound disruption.

Extract:

Four children: A 4-year-old with asthma, a 7-year-old with diabetes insipidus, a 1-year-old toddler, a 10-year-old with sickle cell anemia.


Question 3 of 5

Which of the following children should the nurse assess first? (Select All that Apply.)

Correct Answer: C,D

Rationale: A toddler's high fever may indicate serious infection; severe chest pain in sickle cell anemia suggests acute chest syndrome, both requiring urgent assessment.

Extract:

A child who ingested acetaminophen.


Question 4 of 5

The nurse understands the rationale for utilizing N-acetylcysteine for acetaminophen ingestions in children is to:

Correct Answer: D

Rationale: N-acetylcysteine replenishes glutathione, detoxifying acetaminophen metabolites to prevent hepatotoxicity.

Extract:

A child with a seizure in the hospital.


Question 5 of 5

Which nursing interventions are appropriate for this child? (Select All that Apply.)

Correct Answer: A,B,C,D,F

Rationale: Benzodiazepines stop seizures; neurological checks assess status; reorientation calms postictally; side-lying prevents aspiration; documentation aids management.

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