Questions 36

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ATI Nurs 243 Pediatrics Exam Questions

Extract:

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


Question 1 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.

Extract:

A newborn child whose mother does not wish for immunizations due to concerns about MMR vaccine causing autism.


Question 2 of 5

The mother of a newborn child does not wish for her child to receive immunizations because she has read that immunizations, especially MMR vaccine, cause autism. Which of the following statements by the nurse is the FIRST response?

Correct Answer: D

Rationale: Providing accurate, evidence-based information is the best first response. It addresses the mother's concerns directly and helps correct misinformation.

Extract:

A school aged child with ADHD, prescribed dexamethylphenidate 10mg before breakfast and lunch.


Question 3 of 5

The nurse is assessing a school aged child with ADHD. The child is prescribed dexamethylphenidate 10mg before breakfast and lunch. Which of the following findings is of MOST concern to the nurse?

Correct Answer: C

Rationale: A blood pressure reading of 140/90 is concerning as it indicates hypertension, which can be a side effect of stimulant medications like dexamethylphenidate.

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 5-year-old child receiving a MMR vaccine.


Question 5 of 5

The nurse is instructing the parents of a 5-year-old child receiving a MMR vaccine about possible serious reactions. Which of the following is considered a serious reaction? SELECT ALL THAT APPLY

Correct Answer: A,B

Rationale: Prolonged seizures and decreased level of consciousness are serious reactions to the MMR vaccine, requiring immediate medical attention.

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