ATI RN
ATI Nurs 335 Pediatrics Exam Questions
Extract:
A nurse is planning care for a 6-year-old child who has bacterial meningitis.
Question 1 of 5
Which of the following nursing interventions is unnecessary in the client's plan of care?
Correct Answer: D
Rationale: The correct answer is D: Measure head circumference every shift. This intervention is unnecessary because measuring head circumference every shift is not a standard nursing practice unless there is a specific medical condition or concern related to head size, such as in pediatric patients with hydrocephalus. In this case, there is no indication or rationale provided in the question to support the need for frequent head circumference measurements. Placing the client in a semi-Fowler's position helps with breathing and prevents aspiration (
A). Admitting the client to a private room reduces the risk of infection transmission (
B). Implementing seizure precautions ensures the client's safety if they are at risk for seizures (
C). These interventions are all relevant to the client's plan of care, making them necessary compared to measuring head circumference, which lacks justification in this scenario.
Extract:
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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