Questions 55

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ATI RN Pediatric Nursing 2023 I Questions

Extract:


Question 1 of 5

A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?

Correct Answer: B

Rationale: B. Providing a pacifier coated with an oral sucrose solution has been shown to reduce pain and stress during immunizations in infants, promoting atraumatic care. A. EMLA cream requires time to work. C. Deltoid muscle is not used in infants. D. A 20-gauge needle is too large.

Question 2 of 5

A nurse is caring for a school-age child who has diabetes mellitus. Which of the following findings should the nurse recognize as being consistent with hyperglycemia?

Correct Answer: D

Rationale: D. Thirst (polydipsia) is a classic symptom of hyperglycemia in diabetes mellitus, as the body tries to dilute the excess sugar in the bloodstream by increasing fluid intake. A, B, C. These are more associated with hypoglycemia.

Question 3 of 5

A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: B. Ataxia, or lack of coordination, is a common neurological symptom of gasoline inhalation due to its toxic effects on the brain and nervous system. A. Pinpoint pupils are linked to opioids. C. Hyperactive reflexes are linked to stimulants. D. Gasoline inhalation causes hyperthermia, not hypothermia.

Question 4 of 5

A nurse is caring for a school-age child who is having a tonic-clonic seizure. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: D. Timing the duration of the seizure is crucial for medical management and documentation purposes. A. Chlorothiazide is not indicated for seizures. B. Holding the child down can cause injury. C. Prone position risks airway obstruction.

Question 5 of 5

A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect? Select all that apply.

Correct Answer: A,D,E

Rationale: A. Cyanosis can occur in children with heart failure due to inadequate oxygenation of tissues. B. Weight gain or fluid retention is more common in children with heart failure. C. Bounding pulses are more commonly associated with conditions such as hypertension or hyperthyroidism, rather than heart failure. D. Dyspnea, or difficulty breathing, is a common symptom of heart failure due to fluid buildup in the lungs. E. Tachycardia, or a rapid heart rate, can occur as a compensatory mechanism in response to decreased cardiac output in heart failure.

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