Questions 36

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ATI Nurs 243 Pediatrics Exam Questions

Extract:

A 1-month-old infant with a new ventriculoperitoneal shunt.


Question 1 of 5

The nurse is assessing a 1-month-old infant with a new ventriculoperitoneal shunt. Which of the following signs and symptoms in this infant is concerning for increased intracranial pressure? SELECT ALL THAT APPLY

Correct Answer: A,B,E

Rationale: Vomiting, poor feeding, and irritability can be signs of increased intracranial pressure in infants, indicating possible shunt malfunction or obstruction.

Extract:

A school aged child being evaluated for possible glomerulonephritis.


Question 2 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 school aged child with ADHD recently switched from methylphenidate to atomoxetine.


Question 3 of 5

A school aged child with ADHD was recently switched from a methylphenidate to atomoxetine. The nurse recognizes a need for further teaching when the parents make which of the following statements?

Correct Answer: B

Rationale: Atomoxetine is a non-stimulant medication for ADHD that must be taken consistently every day, not just on school days. This statement indicates a misunderstanding and a need for further teaching.

Extract:

A 4-year-old boy who has cerebral palsy, whose parents have taken his name off the list for baseball next season.


Question 4 of 5

A nurse is speaking with the parents of a 4-year-old boy who has a cerebral palsy. The parents tell the nurse they have taken their son's name off the list for baseball next season. Which of the following is the BEST response for the nurse to make?

Correct Answer: C

Rationale: Asking to discuss their decision and explore alternatives is the best response as it opens a dialogue, provides support, and helps the parents consider other options for their child's participation in activities.

Extract:

A 4-year-old female child scheduled for the repair of a Ventricular Septal Defect (VSD).


Question 5 of 5

The nurse is caring for a 4-year-old female child who is scheduled for the repair of a Ventricular Septal Defect (VSD). Which of the following nursing interventions is MOST appropriate when preparing this child for surgery?

Correct Answer: C

Rationale: Using a doll with a sternal incision and dressing helps the child visualize and understand what will happen, making the experience less frightening.

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