Questions 36

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ATI Nurs 243 Pediatrics Exam Questions

Extract:

A school aged child being evaluated for possible glomerulonephritis.


Question 1 of 5

A school aged child is being evaluated for possible glomerulonephritis. During the physical exam the nurse recognizes that which of the following, is a possible cause?

Correct Answer: D

Rationale: Glomerulonephritis often follows a streptococcal infection, such as strep throat, occurring within the last two weeks. This is known as post-streptococcal glomerulonephritis.

Extract:

A child post bone marrow transplantation diagnosed with graft versus host disease.


Question 2 of 5

The nurse is caring for a child post bone marrow transplantation who has been diagnosed with graft versus host disease. The parents ask the nurse how this will be treated. Which of the following would be the nurse's BEST response?

Correct Answer: D

Rationale: The most common initial treatment for GVHD involves steroids and immunosuppressive drugs. This response provides accurate information and addresses the parents' concerns.

Extract:

A child suspected to have suffered child abuse.


Question 3 of 5

The nurse is assessing a child who is suspected to have suffered child abuse. Which of the following statements demonstrate therapeutic communication when interacting with the child?

Correct Answer: D

Rationale: Reassuring the child that they are not to blame is supportive and helps to build trust, encouraging the child to feel safe in sharing information.

Extract:

A school aged child with glomerulonephritis, with urine output of 190mL in 8 hours, dark brown urine, lethargy, confusion, headache, double vision, elevated BUN, creatinine, ESR, BP 138/80, and irritability.


Question 4 of 5

The nurse is caring for a school aged child with glomerulonephritis. Which of the following findings requires IMMEDIATE attention?

Correct Answer: B

Rationale: Lethargy, confusion, headache, and double vision are signs of severe hypertension and possibly hypertensive encephalopathy, which require immediate attention.

Extract:

A child who has hemiplegic cerebral palsy.


Question 5 of 5

A home health nurse is doing the first intake visit for a child who has hemiplegic cerebral palsy. When developing a plan of care for this child, which of the following goals is the priority for the nurse to include in the plan of care?

Correct Answer: B

Rationale: Modifying the home for safety is the priority because children with hemiplegic cerebral palsy have motor impairments that increase their risk for accidents and injuries. A safe environment is essential for the child’s well-being.

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