Extract:

A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis.

Question 1 of 5

Which of the following actions should the nurse include in the plan of care?

A. Hold the infant's chin to his chest and knees to his abdomen during the procedureB. No sedation is needed, due to application of anesthetic creamC. Apply an anesthetic mixture of lidocaine and prilocaine cream topically 15 min prior to the procedureD. Keep the infant NPO for 6 hr prior the procedure

Correct Answer: A

Rationale: The fetal position facilitates lumbar puncture by opening intervertebral spaces.

Extract:

A nurse is caring for a 4-year-old pediatric client who has an inguinal hernia.

Question 2 of 5

Which of the following statements should the nurse make when the parents ask for clarification about the inguinal hernia?

A. An inguinal hernia occurs when digestive fluids leak from the bowel, causing swelling that results in a bulge in the groinB. An inguinal hernia occurs when a viral infection weakens the intestine, allowing the bowel to herniate into the groinC. An inguinal hernia occurs when a part of the bowel or fatty tissue slips through a weak spot in the abdominal cavity near the groinD. An inguinal hernia occurs when an accumulation of excess gas in the abdominal cavity results in a bulge in the groin

Correct Answer: C

Rationale: Inguinal hernia involves bowel or fatty tissue protruding through a weak abdominal wall near the groin.

Extract:

A nurse is providing education to a 12-year-old child who has been newly diagnosed with celiac disease.

Question 3 of 5

Which of the following statements by the client indicates a need for further teaching?

A. Processed foods are acceptable, as long as they don't contain flourB. I need to check food labels for hidden sources of gluten, like barley and ryeC. I need to avoid foods like bread, pasta, and cerealD. My family should use separate serving utensils for gluten-free foods

Correct Answer: A

Rationale: Processed foods may contain gluten as additives, requiring label checks, indicating a need for further education.

Extract:

The nurse is providing discharge teaching to the parents of a toddler who experienced a febrile seizure.

Question 4 of 5

The parents make which statement(s) indicating understanding? Select all that apply.

A. Most children with febrile seizures do not require seizure medicineB. My child's 4-year-old sibling is also at high risk for febrile seizuresC. I will give my child acetaminophen when she has a fever to prevent her temperature from rising rapidlyD. My child will now take anticonvulsants every day to prevent seizuresE. My child could have another febrile seizure

Correct Answer: A,C,E

Rationale: Febrile seizures typically don't require anticonvulsants, acetaminophen helps manage fever, and recurrence is possible.

Extract:

The nurse is monitoring a 7-year-old child post-surgical resection of a supratentorial (cerebral) brain tumor.

Question 5 of 5

Which vital sign finding indicates Cushing's triad?

A. Increased temperature, tachycardia, tachypneaB. Decreased temperature, bradycardia, bradypneaC. Bradycardia, high blood pressure, irregular respirationsD. Bradycardia, hypotension, tachypnea

Correct Answer: C

Rationale: Cushing's triad (bradycardia, hypertension, irregular respirations) indicates increased ICP.

Nurselytic

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ATI Nurs 335 Pediatrics Exam Questions

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