ATI PN Pediatrics nursing 2023

Extract:

Question 1 of 5

A nurse is reinforcing teaching with the guardian of a child who has head lice. Which of the following statements should the nurse make?

A. Apply petroleum jelly to your child's scalp at bedtime for 3 days. B. Leave your child's nonwashable items in a sealed plastic bag for 2 days. C. Submerge your child's combs and hairbrushes in boiling water for 10 minutes. D. Spray the carpet in your child's room with insecticide weekly for 1 month.

Correct Answer: C

Rationale: Boiling combs and brushes for 10 minutes kills lice and nits effectively. Petroleum jelly, short sealing, or spraying carpets are inadequate.

Question 2 of 5

A nurse is caring for a 10-year-old child who is terminally ill. The child's guardian and younger sibling are at the bedside. Which of the following statements should the nurse make to the guardian?

A. You should hide your grief as much as possible around your child. B. Your child likely views death as temporary. C. You should be prepared to answer your child's questions about dying. D. You should limit visits between the siblings at this time.

Correct Answer: C

Rationale: A 10-year-old understands death's permanence, and answering their questions supports them emotionally. Hiding grief or limiting sibling visits isolates the child.

Question 3 of 5

A nurse is collecting data from a school-age child who has celiac disease. Which of the following findings should the nurse expect? (Select all that apply.)

A. Polyuria B. Abdominal distension C. Large pale-colored stools D. Irritability E. Anorexia

Correct Answer: B,C,D,E

Rationale: Celiac disease causes malabsorption, leading to abdominal distension, pale stools, irritability, and anorexia. Polyuria isn't typical.

Question 4 of 5

A nurse is reviewing the medical records of a group of clients. Which of the following findings should the nurse report to local authorities?

A. A 4-year-old preschooler who has a rivalry with their siblings B. A 24-month-old toddler who experiences occasional incontinence C. A 6-month-old infant who has a spiral fracture to a lower extremity D. A 9-month-old infant who has been exposed to bedbugs and has cellulitis

Correct Answer: C

Rationale: Spiral fractures in non-ambulatory infants suggest abuse, requiring mandatory reporting. Sibling rivalry, incontinence, and bedbugs don't mandate reporting.

Question 5 of 5

A nurse is assisting in the care of a child who has cystic fibrosis and a prescription for pancreatic enzymes. Which of the following outcomes is a desired effect of the pancreatic enzymes?

A. Passing one or two formed stools each day B. Maintaining an oxygen saturation of 54% or higher C. Maintaining a fasting blood glucose of less than 120 mg/dL (70 to 110 mg/dL) D. Losing 0.5 kg per week

Correct Answer: A

Rationale: Pancreatic enzymes improve digestion, aiming for normal stools. Oxygen saturation and glucose aren't directly affected, and weight loss is undesirable.

ATI PN Pediatrics nursing 2023 | Nurselytic

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