Extract:

A newborn with blood pressure measurements at each extremity.

Question 1 of 5

Which of the following findings suggests coarctation of the aorta?

A. Low systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremitiesB. Elevated systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremitiesC. Low systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremitiesD. Elevated systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities

Correct Answer: D

Rationale: Coarctation causes high BP in arms and low BP in legs due to aortic narrowing.

Extract:

An infant who has intussusception.

Question 2 of 5

Which of the following statements would the nurse provide to the parents? 'Intussusception:'

A. is a congenital condition where the layers of the intestinal wall do not form properly.B. results from the twisting of the intestine, causing a blockage in the passage of food.C. occurs when one segment of the intestine slides into another, which can cut off blood supply.D. is a consequence of weakened abdominal muscles, allowing a portion of the intestine to bulge.

Correct Answer: C

Rationale: Intussusception involves intestinal telescoping, leading to obstruction and potential ischemia.

Extract:

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

Question 3 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.

Extract:

A baby undergoing serial casting for clubfoot.

Question 4 of 5

What is an important aspect of parent teaching for the care of a baby undergoing serial casting for clubfoot?

A. Use lotion or powder inside the cast to prevent itchingB. Ensure the cast remains dry and clean at all times.C. Massage the baby's foot to improve circulation while the cast is on.D. Remove the cast daily to allow the baby's skin to breathe.

Correct Answer: B

Rationale: Keeping the cast dry and clean prevents skin breakdown and maintains cast integrity.

Extract:

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

Question 5 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.

Nurselytic

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ATI N400 Pediatrics Exam 2 Questions

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