RN ATI Pediatric Nursing 2023 with NGN -Nurselytic

Questions 13

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RN ATI Pediatric Nursing 2023 with NGN Questions

Extract:

A nurse in the emergency department is caring for a toddler. Nurse's Notes: 0915: Received the child awake, alert, and crying. Parent states that child was playing with remote control toy and when the parent heard the child crying, they noticed that a battery was missing from the toy. The parent states that the child was drooling more than usual and witnessed them gagging periodically. 0930: Child is lying on parent's chest with eyes open and requesting €˜sippy cup.' Continues to have wheezing in bilateral upper lobes. Preparing child for diagnostic testing. Vital Signs: 0915: Blood Pressure: 88/45 mm Hg. Heart Rate: 90/min. Respiratory Rate: 30/min. Axillary Temperature: 36.9°C (98.4°F). Oxygen Saturation: 96%. 0930: Blood Pressure: 85/46 mm Hg. Heart Rate: 88/min. Respiratory Rate: 28/min. Axillary Temperature: 36.9°C (98.4°F). Oxygen Saturation: 95%. Assessment: 0915: Child awake and sobbing, asking parent for €˜sippy cup' with excessive drooling and occasionally gagging. Breath sounds with small expiratory wheezing noted in bilateral upper lobes. Respirations slightly elevated as child continues to cry and sob. Oxygen saturation 96% on room air. Penlight used to inspect throat with no visual signs of foreign object. No visual objects in child's nose or ears upon inspection. Pupils equal, round, and reactive to light and accommodation. Abdomen soft and nontender with active bowel sounds in all four quadrants. Skin warm, pink, and smooth. Yellow urine noted in child's diaper. Provider notified of assessment findings. Laboratory Results: 0930: X-ray of the neck, chest, and abdomen completed. Barium radiography study identifies object in the esophagus. No foreign objects visualized in the chest or abdomen.


Question 1 of 5

Complete the following sentence using the list of options: 'The nurse should first select _____, followed by _____.'

Correct Answer: C,E

Rationale: The correct answer is C and E. First, keeping the child NPO is important to prevent complications during the flexible endoscopy procedure (E). This ensures the child's stomach is empty and reduces the risk of aspiration. Second, preparing the child for the procedure (E) is essential for their comfort and cooperation. Obtaining informed consent (
A) may be necessary but is not the first step in this scenario. Teaching parents about inspecting play areas (
B) and toys for safety, and monitoring the child's gag reflex (F) are important, but not the immediate priorities before a flexible endoscopy.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

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Question 5 of 5

Correct Answer:

Rationale:

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