Questions 55

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ATI RN Pediatric Nursing 2023 I Questions

Extract:


Question 1 of 5

A nurse is providing teaching to the parent of a school-age child who has a maintenance prescription for prednisone following an acute asthma attack. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer: A

Rationale: A. Mood swings are a common side effect of prednisone and indicate an understanding of the potential adverse effects. B. Routine blood tests are not typically required for maintenance prednisone therapy. C. Prednisone should not be withheld before physical activity. D. Decreased appetite is not typical; increased appetite is more common.

Question 2 of 5

A nurse is providing teaching to a 15-year-old adolescent about a medication used to treat a sexually transmitted infection. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: D. Asking how the client prefers to learn new information demonstrates respect for the adolescent's autonomy and preferences, facilitating effective communication and understanding. A, B, C. These do not prioritize the adolescent's involvement or preferences.

Question 3 of 5

A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider?

Correct Answer: A

Rationale: A toddler who has a heart rate of 68/min is likely to have bradycardia, a slow heart rate that can affect oxygen delivery. Bradycardia could be caused by hypoxia, hypothermia, or cardiac problems. The nurse should report this finding to the provider immediately. B. This temperature is within the normal range. C. This blood pressure is within the normal range for an adolescent. D. The normal respiratory rate for a 3-month-old infant is 25 to 40/min.

Question 4 of 5

A nurse is caring for a child whose guardian requests information about essential oils to help their child relax. Which of the following oils should the nurse recommend?

Correct Answer: A

Rationale: A. Lavender oil is commonly used for relaxation and calming effects. B. Eucalyptus oil is used for respiratory issues. C. Jasmine oil is aromatic but less effective for relaxation. D. Tea tree oil is antimicrobial, not relaxing.

Extract:

Nurses' Notes 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter. Vital Signs 0930: Temperature 38.4° C (101.1° F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).


Question 5 of 5

Select words from the choices to fill in each blank in the following sentence. The child is at risk for developing ______ and _______.

Correct Answer: A,D

Rationale: E. Pyelonephritis is a bacterial infection of the kidneys commonly associated with fever and lethargy, especially in young children. B. Renal scarring can occur as a complication of untreated or recurrent urinary tract infections (UTIs), particularly pyelonephritis.

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