Extract:

Four children: A 4-year-old with asthma, a 7-year-old with diabetes insipidus, a 1-year-old toddler, a 10-year-old with sickle cell anemia.

Question 1 of 5

Which of the following children should the nurse assess first? (Select All that Apply.)

A. A 4-year-old child who has asthma and a PC02 of 37 mm Hg.B. A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016.C. A 1-year-old toddler who has a temperature of 39Â°C (102.2Â°F).D. A 10-year-old child who has Sickle cell anemia who reports severe chest pain.

Correct Answer: C,D

Rationale: A toddler's high fever may indicate serious infection; severe chest pain in sickle cell anemia suggests acute chest syndrome, both requiring urgent assessment.

Extract:

A 6-month-old infant who has a cleft palate.

Question 2 of 5

Which area should the nurse consider when addressing the child's overall development?

A. Speech and language acquisitionB. Gross motor skill developmentC. Fine motor skill developmentD. Cognitive development

Correct Answer: A

Rationale: Cleft palate impacts speech development, requiring early intervention.

Extract:

A child with a fracture of an epiphyseal plate.

Question 3 of 5

Which of the following statements should the nurse make?

A. The blood supply to the bone is disrupted.'B. The younger the child the longer the healing process will take.'C. Bone marrow can be lost though the fracture.'D. Normal bone growth can be affected.'

Correct Answer: D

Rationale: Epiphyseal plate fractures can disrupt growth, causing limb length discrepancies.

Extract:

A 2-year-old toddler with a cognitive impairment admitted for respiratory syncytial virus (RSV).

Question 4 of 5

Which of the following intervention(s) should the nurse implement? (Select All that Apply.)

A. Provide frequent and routine verbal updates with the parents.B. Encourage the parents to participate in the toddler's plan of care when appropriate.C. Perform more frequent health care rounds on the toddler.D. Conduct interprofessional rounds at the child's bedside so the parents can be included.E. Provide education to the parents on all nursing interventions to alleviate added anxiety about tasks they are unfamiliar with.F. Provide the parents with the nurse's personal cell phone number to contact if they have questions while they are away from the hospital.

Correct Answer: A,B,D,E

Rationale: Updates, participation, interprofessional rounds, and education reduce parental distress and enhance engagement.

Extract:

A preschool-aged child who had a myringotomy with a tympanoplasty tube insertion 4 days ago.

Question 5 of 5

Which of the following actions should the nurse identify as an indication that the teaching was effective? (Select All that Apply.)

A. The child's parent applies the prescribed medication instructed.B. The parent allows their child to attempt to lift their older sibling above the ground.C. The child's parent enforces nose blowing when necessary.D. The Childs parent States that they developed a plan to have their child use ear plugs in the shower.E. The parent noticed purulent drainage from their child's ear and immediately reported it to the surgeon.

Correct Answer: A,D,E

Rationale: Medication administration, earplugs, and reporting drainage show effective teaching.

Nurselytic

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ATI N400 Pediatrics Exam 2 Questions

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Question 1 of 5

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Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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