ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A child in the immediate postoperative period after a tonsillectomy, spitting up small amounts of blood.
Question 1 of 5
The nurse notices that a child is spitting up small amounts of blood in the immediate postoperative period after a tonsillectomy. What would be the best intervention?
Correct Answer: A
Rationale: Notifying the healthcare provider immediately is the best intervention because spitting up blood post-tonsillectomy could indicate bleeding, which requires prompt medical evaluation and intervention.
Extract:
A 12-year-old child who is newly diagnosed with asthma.
Question 2 of 5
A nurse is teaching a 12-year-old child who is newly diagnosed with asthma about managing the condition to prevent asthma attacks. Which of the following statements by the child should indicate to the nurse that the teaching has been effective?
Correct Answer: C
Rationale: Eliminating allergens that irritate the lungs is an effective strategy for asthma management and prevention of attacks.
Extract:
Newborns in general.
Question 3 of 5
Coarctation of the aorta demonstrates few symptoms in newborns. What is a important assessment to the nurse make on all newborns to help reveal this condition?
Correct Answer: A
Rationale: Recording an upper extremity blood pressure compared to a lower extremity blood pressure can reveal coarctation of the aorta, as it often results in higher blood pressure in the upper body.
Extract:
A child with a suspected diagnosis of Wilms' tumor.
Question 4 of 5
A child is admitted with a suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed?
Correct Answer: D
Rationale: Wilms' tumor is a renal tumor, and palpating the abdomen could potentially cause the tumor to rupture and spread malignant cells.
Extract:
An infant whose guardian reports intermittent vomiting for several days. Guardian reports infant has been forcefully vomiting after feedings. Infant is very fussy and rooting and sucks vigorously on a pacifier. Axillary temperature: 38.2° C (100.8° F), Heart rate: 152/min, Respiratory rate: 30/min. Mucus membranes are dry. Anterior fontanel depressed and soft. Small amount of urine noted in the diaper, dark in color. Upper portion of the abdomen is distended. Palpable olive-shaped mass noted in the right mid-abdominal region. Ultrasound shows a mass that encircles the pyloric canal consistent with hypertrophic pyloric stenosis.
Question 5 of 5
A nurse is caring for an infant whose guardian reports intermittent vomiting for several days. Which of the following actions should the nurse take? (Select all that apply)
Correct Answer: B,C,D
Rationale: Measuring head circumference monitors for increased intracranial pressure due to dehydration. Weighing the infant assesses weight loss from vomiting. Monitoring intake and output manages hydration status.