ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A child with frequent nosebleeds.
Question 1 of 5
A nurse is teaching the parents of a child with frequent nosebleeds how to care for the child. Which statement by the parents indicate that the parents have understood the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale:
1. Sitting the child upright and forward helps prevent blood from flowing to the back of the throat.
2. Applying pressure to the sides of the nose helps stop the bleeding by compressing the blood vessels.
3. This position and pressure technique are recommended for managing nosebleeds effectively.
Incorrect
Choices:
B: Turning the child's head to the side and pressing on the nasal ridge may worsen the bleeding.
C: Putting the child in bed and pressing on the forehead does not help control the bleeding.
D: Having the child lie flat and applying pressure to the cheeks is not recommended for nosebleeds.
Extract:
A 2-month-old infant who is postoperative following surgical repair of a cleft lip.
Question 2 of 5
A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Encourage the parents to rock the infant. Rocking the infant provides comfort, promotes bonding, and can help soothe the infant postoperatively. It can also help regulate the infant's breathing and heart rate. Positioning the infant on her abdomen (
A) is not recommended postoperatively. Offering a pacifier (
B) may interfere with wound healing and sutures in the lip repair. Administering ibuprofen (
C) without a doctor's order may not be appropriate for a 2-month-old infant.
Extract:
A child who is having a tonic-clonic seizure and vomiting.
Question 3 of 5
A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C: Position the child side-lying. This is the priority action because it helps prevent aspiration of vomit during the seizure, reducing the risk of airway obstruction and potential complications. Loosening restrictive clothing (
A) can be done after ensuring the child's safety. Placing a pillow under the child's head (
B) is not as critical as ensuring a clear airway. Clearing the area of hazards (
D) is important but not the priority during an active seizure.
Extract:
A school-age child who has type 1 diabetes mellitus.
Question 4 of 5
A nurse is teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Test the urine for ketones. This is crucial in managing type 1 diabetes as ketones in urine indicate inadequate insulin levels, which can lead to diabetic ketoacidosis. Testing for ketones helps monitor the child's condition and prevent complications.
Incorrect choices:
B: Withholding insulin when feeling nauseous can worsen hyperglycemia.
C: Blood glucose levels over 350 mg/dL require immediate intervention, not just provider notification.
D: Limiting fluid intake during meals can lead to dehydration and worsen diabetes management.
Extract:
An adolescent who reports feeling shaky and is having difficulty speaking and concentrating. Blood glucose level is 55 mg/dL.
Question 5 of 5
A school nurse is assessing an adolescent who reports feeling shaky and is having difficulty speaking and concentrating on the questions the nurse is asking. The nurse checks the adolescent's blood glucose level and identifies a value of 55 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Tachycardia. When blood glucose levels drop (hypoglycemia), the body releases epinephrine causing an increase in heart rate, leading to tachycardia. Shaky feeling, difficulty speaking, and poor concentration are signs of hypoglycemia. Deep, rapid respirations (choice
A) are seen in diabetic ketoacidosis, not hypoglycemia. Polyuria (choice
C) is excessive urination, not a symptom of hypoglycemia. Dry, flushed skin (choice
D) is not associated with hypoglycemia.