ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
When planning care for children.
Question 1 of 5
When planning care for children, the nurse knows that which factor has the largest impact but is not able to be altered to influence the growth and development of children?
Correct Answer: B
Rationale: The correct answer is B: Genetics. Genetics refers to the hereditary traits and characteristics that children inherit from their parents. These genetic factors cannot be altered or changed, making them the largest impact on a child's growth and development that cannot be influenced. Environment (choice
A), socialization (choice
C), and nutrition (choice
D) are all factors that can be modified or altered to positively impact a child's growth and development through interventions, education, and support.
Therefore, genetics stands out as the factor with the largest impact that cannot be changed.
Extract:
6-year-old child who has bacterial meningitis.
Question 2 of 5
A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?
Correct Answer: A
Rationale: The correct answer is A. Measuring head circumference every shift is unnecessary in the care of a 6-year-old child with bacterial meningitis. The rationale is that head circumference monitoring is more relevant for infants and young children to assess for abnormal brain growth, which is not a priority concern in this case.
B: Implementing seizure precautions is important as bacterial meningitis can lead to seizures.
C: Admitting the client to a private room helps prevent the spread of infection.
D: Placing the client in a semi-Fowler's position helps reduce intracranial pressure.
Therefore, monitoring head circumference unnecessarily wastes time and resources in this scenario.
Extract:
9-month-old infant.
Question 3 of 5
A nurse in a clinic is assessing a 9-month-old infant. Which of the following findings requires further intervention?
Correct Answer: D
Rationale: The correct answer is D: Positive Moro reflex. At 9 months, the Moro reflex should have integrated, so a positive response indicates a potential developmental delay or neurological issue. The Babinski reflex is normal in infants but should disappear by 2 years, so A is not concerning. The Doll's eye reflex and Crawl reflex are not typically present in infants, so B and C are normal findings. In summary, a positive Moro reflex at 9 months requires further intervention as it suggests a developmental issue, while the other reflexes are either normal or expected at this age.
Extract:
6-month-old infant.
Question 4 of 5
A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?
Correct Answer: A
Rationale: The correct answer is A: Increased crying episodes. Infants often communicate pain through increased crying. This is the most reliable indicator of pain in non-verbal infants. Decreased respiratory rate (
B) and heart rate (
C) are not typical signs of pain and may actually indicate distress. Increased formula consumption (
D) is unlikely to indicate pain as infants may seek comfort through feeding.
Extract:
Child who is in sickle cell crisis.
Question 5 of 5
A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: High fever. During a sickle cell crisis, the sickled red blood cells block blood flow, leading to tissue damage and pain. This can trigger an inflammatory response, causing a high fever. Bradycardia (
B) and decreased respiratory rate (
D) are not typical findings in sickle cell crisis. Constipation (
C) is not directly related to a sickle cell crisis.