Questions 51

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ATINur2708 Pediatrics Final Exam Questions

Extract:

1-year-old child with Down syndrome, parent concerned about delayed walking.


Question 1 of 5

The clinic nurse talks with the parent of a child with Down syndrome. The parent states, 'I thought my 1-year-old would be walking by now. I am concerned.' What response by the nurse is best?

Correct Answer: A

Rationale: A: Explaining that developmental delays are common in Down syndrome addresses the parent's concern directly and reassuringly.

Extract:

Child who ingested laundry detergent pods (Tide pods).


Question 2 of 5

A nurse is caring for a child who ingested laundry detergent pods (Tide pods). Which of the following assessments is the nurse's priority?

Correct Answer: A

Rationale: A: Respiratory status is the priority due to the risk of aspiration or airway swelling from chemical irritation, which can be life-threatening.

Extract:

Adolescent with blunt trauma to the abdomen.


Question 3 of 5

A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority?

Correct Answer: A

Rationale: A: Low blood pressure (89/50 mm Hg) suggests hypovolemic shock, a critical priority requiring immediate intervention.

Extract:

12-month-old child diagnosed with congenital cerebral palsy.


Question 4 of 5

A parent brings a 12-month-old child diagnosed with congenital cerebral palsy to the clinic. The nurse completes an assessment. Which assessment finding does the nurse determine needs immediate intervention?

Correct Answer: B

Rationale: B: Suspected failure to thrive indicates potential nutritional or health issues, requiring immediate intervention.

Extract:

Child weighing 44 pounds, prescribed acetaminophen 10 mg/kg/dose, available as 120 mg/5 mL.


Question 5 of 5

A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 44 pounds. The amount available is acetaminophen 120 mg/5 mL. How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: A

Rationale: Child's weight: 44 lb/ 2.2 = 20 kg. Dose: 20 kg x 10 mg/kg = 200 mg. Volume: 200 mg/ (120 mg/5 mL) = 8.33 mL, rounded to 8.3 mL. Correct answer: A (8.3 mL).

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