Questions 59

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ATI Pediatrics Unit 2 Exam Questions

Extract:

A nurse is providing discharge teaching for parents of a child who has congestive heart failure and is about to start taking furosemide.


Question 1 of 5

A nurse is providing discharge teaching for parents of a child who has congestive heart failure and is about to start taking furosemide. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: The correct answer is A: Eat foods that contain plenty of potassium. Furosemide is a loop diuretic that can cause potassium depletion. Instructing the parents to eat foods rich in potassium will help prevent hypokalemia.
Choice B is incorrect as furosemide should be taken in the morning to prevent nighttime diuresis.
Choice C is incorrect as aspirin is not indicated for headaches related to congestive heart failure.
Choice D is incorrect as swelling in the hands and feet should be reported to the healthcare provider as it may indicate worsening heart failure.

Extract:

None provided


Question 2 of 5

Which of the following are characteristics of conservation in school-aged children? (Select All that Apply.)

Correct Answer: C,D

Rationale:
Correct
Answer: C, D


Rationale:
C: Understanding that the amount of a substance remains the same even if its appearance changes is a characteristic of conservation. This shows the child comprehends that properties like volume remain constant despite changes in shape or form.
D: Recognizing that a ball of clay can be flattened and rolled back into a ball without changing its amount demonstrates conservation of mass. The child understands that the clay's quantity remains unchanged regardless of its shape transformation.

Summary:
A: Incorrect - This choice reflects a lack of conservation as the child thinks the quantity changes based on the number of pieces.
B: Incorrect - This choice indicates a lack of conservation as the child believes the amount changes based on the container's shape.
E: Incorrect - This choice also reflects a lack of conservation as the child mistakenly associates quantity with the shape of the container.

Extract:

What is the recommended time for a child with varicella to return to school?


Question 3 of 5

After all the blisters have crusted over

Correct Answer: A

Rationale: The correct answer is A because after all the blisters have crusted over is a typical indication of recovery from chickenpox, which is prevented by the varicella vaccine.
Choice B is incorrect as antiviral medication is not typically used for chickenpox treatment.
Choice C is incorrect as the rash appears at the beginning, not after all the blisters have crusted over.

Choices D, E, F, and G are not applicable in this context.

Extract:

A nurse is providing teaching to a parent of a child who has acute group A B-hemolytic streptococci.


Question 4 of 5

A nurse is providing teaching to a parent of a child who has acute group A B-hemolytic streptococci. Which of the following information should the nurse include in the teaching?

Correct Answer: A

Rationale: The correct answer is A: Replace the child's toothbrush after 24 hr on antibiotics. This is important because the streptococcal bacteria can live on surfaces like toothbrushes and cause reinfection. By replacing the toothbrush after 24 hours on antibiotics, the nurse is helping to prevent the child from being reinfected.

B: Keeping the child home from school for at least 1 week is not necessary for acute group A B-hemolytic streptococci. The child can return to school once they have been on antibiotics for 24 hours.

C: Avoiding the use of warm compresses around the head or neck is not specific to the treatment of acute group A B-hemolytic streptococci.

D: Intramuscular injections will be required monthly is not relevant to the treatment of acute group A B-hemolytic streptococci.

In summary, replacing the child's toothbrush after 24 hours on

Extract:

The nurse is providing anticipatory teaching to parents about pubescent changes in school-aged and young adolescent girls.


Question 5 of 5

The nurse is providing anticipatory teaching to parents about pubescent changes in school-aged and young adolescent girls. Which of the following changes should the nurse include in the teaching?

Correct Answer: C,D,E

Rationale: The correct answer includes breast development (
C), menarche (
D), and increased axillary hair (E) because these are typical pubescent changes in school-aged and young adolescent girls. Breast development signifies the onset of puberty, menarche indicates the beginning of menstruation, and increased axillary hair is a result of hormonal changes. Vocal changes (
A) are more associated with boys during puberty. Decreased height (
B) is not a common pubescent change but could be a sign of a growth disorder.
Therefore, the correct answer is C, D, and E as they are key indicators of pubescent changes in girls.

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