Questions 36

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ATI Nurs 243 Pediatrics Exam Questions

Extract:

A toddler with multiple bruises and burns in various stages of healing, suspected of being abused.


Question 1 of 5

An emergency room nurse is assessing a toddler with multiple bruises and burns in various stages of healing. The nurse suspects that the toddler has been abused, however the physician disagrees. What is the nurse's priority at this time?

Correct Answer: B

Rationale: The nurse has a legal and ethical obligation to report suspicions of child abuse to the proper authorities, regardless of the physician's opinion. Reporting ensures that the child’s safety is prioritized and that an investigation can be conducted.

Extract:

Patients with 24-hour Holter monitor diaries.


Question 2 of 5

The nurse is reviewing 24-hour Holter monitor diaries of various patients. Which of the following entries is the MOST complete?

Correct Answer: B

Rationale: This entry is the most complete as it includes the time, activity (basketball practice), symptom (dizziness), absence of loss of consciousness, and relevant detail (no caffeine intake), giving a comprehensive picture of the patient's experience.

Extract:

A 12-month-old infant receiving chemotherapy for neuroblastoma.


Question 3 of 5

A nurse working in an immunization clinic is caring for a 12-month-old infant who is receiving chemotherapy for neuroblastoma. Which of the following immunizations CANNOT be given to this infant at this time?

Correct Answer: C

Rationale: Varicella (chickenpox) vaccine is a live attenuated vaccine and should not be given to immunocompromised children, such as those receiving chemotherapy, because it poses a risk of causing an infection.

Extract:

A 2-year-old child diagnosed with neuroblastoma.


Question 4 of 5

A 2-year-old child is diagnosed with neuroblastoma. The nurse understands that which of the following tests help to determine the extent of tumor metastasis?

Correct Answer: C

Rationale: A head CT scan is a valuable imaging test that can help determine the extent of tumor metastasis, particularly to the brain or skull.

Extract:

A child with Autism Spectrum Disorder.


Question 5 of 5

The nurse is caring for a child with Autism Spectrum Disorder. The nurse recognizes that which of the following may trigger anxiety and frustration during the hospitalization? SELECT ALL THAT APPLY

Correct Answer: B,C,D

Rationale: Overstimulation, illness and pain, and changes in routine can trigger anxiety and frustration in children with Autism Spectrum Disorder due to sensory sensitivities and preference for predictability.

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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?
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