Questions 65

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ATI Pediatrics Exam II Questions

Extract:

A 3-week-old infant with a respiratory infection and a respiratory rate of 35 breaths/minute


Question 1 of 5

On the basis of this finding, what is the most appropriate action?

Correct Answer: B

Rationale: A respiratory rate of 35 breaths/minute is normal for an infant, so the nurse should document this finding.

Extract:

A 4-year-old child


Question 2 of 5

Which of the following methods is most effective for a nurse to assess pain in a 4-year-old child?

Correct Answer: B

Rationale: The faces pain scale is effective for young children as it uses visual cues that they can relate to, making it easier for them to express their pain level.

Extract:

A 3-week-old infant with a respiratory infection and a respiratory rate of 35 breaths/minute


Question 3 of 5

On the basis of this finding, what is the most appropriate action?

Correct Answer: B

Rationale: A respiratory rate of 35 breaths/minute is normal for an infant, so the nurse should document this finding.

Extract:

A 6-month-old infant


Question 4 of 5

Which of the following signs indicate(s) that the infant is ready to begin eating solid foods? (Select all that apply.)

Correct Answer: B,C,D,F

Rationale: B: Showing interest in food when others are eating is a sign of readiness for solid foods, indicating curiosity and a desire to try new foods. C: Doubling birth weight is a milestone often associated with physical readiness to begin solid foods. D: Losing the tongue-thrust reflex, which pushes food out of the mouth, is an important sign of readiness for solid foods. F: Being able to sit up with minimal support indicates the infant can maintain a stable position for eating.

Extract:

A 2-year-old toddler


Question 5 of 5

Which of the following milestones should the nurse include?

Correct Answer: B,E

Rationale: B: Associative play begins around the age of 2, where toddlers play alongside other children and may start to engage with them, sharing toys and ideas. E: Feeding themselves with a spoon is an expected milestone for 2-year-olds, as they start to develop more independence in self-feeding.

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