ATI PN Pediatrics Nursing 2023 II

Extract:

Question 1 of 5

A nurse is reviewing potential provider orders for a client with respiratory syncytial virus (RSV). Which of the following orders should the nurse anticipate?

A. Obtain a nasopharyngeal specimen for RSV antigen. B. Provide sterile nasopharyngeal suctioning prior to feedings. C. Administer nebulized albuterol sulfate every 4 hours. D. Provide oxygen via nasal cannula to maintain SaO2 above 90%. E. Perform bilateral chest percussion and drainage every 4 hours.

Correct Answer: A,B,D

Rationale: Specimen confirms RSV, suctioning prevents aspiration, and oxygen maintains saturation. Albuterol and percussion are not standard RSV treatments.

Question 2 of 5

A nurse is reinforcing teaching with a group of first-time parents about injury prevention for infants. Which of the following information should the nurse include?

A. Obtain a crib with adjustable rails. B. Provide a walker with wheels to promote mobility. C. Use one-piece pacifiers with a loop handle. D. Place a plastic covering underneath crib sheets.

Correct Answer: C

Rationale: One-piece pacifiers with loops reduce choking risks. Adjustable rails, walkers, and plastic coverings increase injury risks.

Question 3 of 5

A nurse is contributing to the plan of care for a school-aged child who is scheduled for a biopsy. Which of the following interventions should the nurse recommend?

A. Explain the procedure to the child 1 week prior to the biopsy. B. Use simple diagrams and photographs to explain the procedure to the child. C. Plan to spend 45 minutes explaining the procedure to the child. D. Explain the possible long-term consequences of the procedure to the child.

Correct Answer: B

Rationale: Simple diagrams suit school-age comprehension, reducing fear. A week prior is too early, 45 minutes too long, and long-term focus may scare them.

Question 4 of 5

A nurse is evaluating teaching about infection control with the caregiver of a school-age child who has rubella. Which of the following statements by the caregiver indicates an understanding of the teaching?

A. I won't send my child to school for seven days after the rash disappears.' B. I will take my child for a walk in the hallway today.' C. I will contact my pregnant friend who visited my child a day before the rash appeared.' D. I will keep my child's door closed when I visit.'

Correct Answer: A

Rationale: Isolation for 7 days after rash disappearance prevents rubella spread. Walking, contacting pregnant friends, or just closing the door risks transmission.

Question 5 of 5

A nurse is talking privately with an adolescent who has disclosed that their facial fractures are the result of their punishment for coming home 1 hour after their curfew. Which of the following responses should the nurse make?

A. It is not your fault that this happened to you.' B. Your parent was wrong to hit you for coming home late.' C. I won't tell anyone else about this unless you say it's okay.' D. I'm guessing your other parent did not do anything to stop this from happening.'

Correct Answer: A

Rationale: Reassuring it's not their fault reduces guilt, supporting emotional recovery. Judging parents, promising confidentiality (against reporting laws), or speculating risks distress.

ATI PN Pediatrics Nursing 2023 II | Nurselytic

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ATI LPN

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