Extract:

Question 1 of 5

A nurse is reinforcing teaching about bicycle safety with a school-age child. Which of the following instructions should the nurse include?

A. Ensure the balls of your feet touch the ground when you are seated on the bicycle.B. Choose a helmet that is light in color and covers your ears.C. Ride instead of walk your bicycle through crosswalks and intersections.D. Ride against traffic to allow visibility to oncoming vehicles.

Correct Answer: B

Rationale: Feet touching the ground suggests an ill-fitting bike. A light-colored helmet enhances visibility and protects without covering ears. Riding through crosswalks or against traffic increases accident risk.

Question 2 of 5

A nurse is contributing to the plan of care for an infant who has heart failure. Which of the following interventions should the nurse recommend?

A. Implement bolus gavage feedings.B. Provide feedings every 3 hours.C. Place the infant in a lateral position during feeding.D. Dilute formula to half strength.

Correct Answer: B

Rationale: Bolus feedings risk aspiration. Feedings every 3 hours balance nutrition and heart load. Lateral positioning risks aspiration. Diluting formula causes nutritional deficits.

Question 3 of 5

A nurse is caring for a child and suspects the child has experienced physical maltreatment. Which of the following statements should the nurse make?

A. This should not have happened to you.'B. I promise I won't tell anyone about this.'C. It is not your fault that this happened.'D. You should have told someone about this sooner.'

Correct Answer: C

Rationale: Saying 'This should not have happened' validates injustice but lacks comfort. Promising confidentiality is unethical due to mandatory reporting. 'It is not your fault' reassures the child, reducing guilt and shame, crucial for emotional support. Blaming the child for not reporting sooner is unsupportive.

Question 4 of 5

A nurse is reinforcing teaching with an adolescent who has a prescription for tretinoin topical for the treatment of acne. Which of the following instructions should the nurse include in the teaching?

A. Apply the medication 5 minutes after washing the face.B. Use a dime-sized amount of the medication.C. Use a sunscreen with an SPF of 15 or higher while using the medication.D. Apply the medication in the morning.

Correct Answer: C

Rationale: Waiting longer ensures dry skin. Amount varies by area. Sunscreen prevents photosensitivity, critical with tretinoin. Night application is standard.

Question 5 of 5

A nurse is reinforcing teaching with the guardian of a 1-year-old infant about administering a liquid oral medication. Which of the following statements should the nurse make?

A. You should add the medication to your child's formula prior to feeding.'B. You should put small bits of ice on your child's tongue before administering the medication.'C. You should position your child on their back during the administration of the medication.'D. You should place the medication along the inside of your child's cheek during administration.'

Correct Answer: D

Rationale: Mixing with formula risks refusal. Ice poses a choking hazard. Lying flat increases aspiration risk. Cheek placement ensures safe swallowing.

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ATI PN Pediatrics nursing 2023 III Questions

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