Extract:

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

Question 1 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 reinforcing education to parents of an infant who has intussusception.

Question 2 of 5

Which of the following statements would the nurse provide to the parents?

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

Correct Answer: A

Rationale: Intussusception involves intestinal telescoping, potentially cutting off blood supply.

Extract:

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

Question 3 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:

Question 4 of 5

Which type of seizure is characterized by a sudden loss of muscle tone, leading to the person collapsing or falling down?

A. Tonic-clonic seizureB. Myoclonic seizureC. Atonic seizureD. Absence seizure

Correct Answer: C

Rationale: Atonic seizures cause sudden muscle tone loss, resulting in collapses or falls.

Extract:

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

Question 5 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.

Nurselytic

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ATI Nurs 335 Pediatrics Exam Questions

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