ATI Pediatric Nursing Exam | High-Yield
Questions & Answers ,Rationales | 100 %
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A nurse is providing dietary teaching to the parent of a school -age
child who has celiac disease. The nurse should recommend that the
parent offer which of the following foods to the child?
CORRECT ANSWER:
-White rice
Rationale: The nurse should recommend that the parent offer white
rice to the child because it is a gluten-free food. The nurse should
instruct the parent that the child will remain on a lifelong gluten-free
diet and the child should not consume oats, rye, barley, or wheat,
and that sometimes lactose deficiency can be secondary to this
disease.
A nurse is caring for a preschool-age child. For each assessment
finding, click to specify if the finding is consistent with nightmares or
sleep terrors. Each finding may support more than 1 disease
process.
CORRECT ANSWER:
-Timing of child's crying: Nightmares
-Child's responsiveness to guardian: Nightmares
-Child's return to sleeping: Sleep terrors
,-Child's description of the dream: Nightmares
-Impulsivity: Sleep terrors and Nightmares
-Child's concentration: Sleep terrors and Nightmares
-Daytime alertness: Sleep terrors and Nightmares
Rationale: When analyzing cues, the nurse should recognize that
manifestations of nightmares include awakening during the night
after a scary dream. Nightmares are a sleep disturbance that cause
distress after the dream is over. The child might be crying, fearful of
returning to sleep, and believe the dream is real. Sleep disturbances
cause interruptions in the sleep-wake cycle and can cause impaired
concentration, daytime fatigue, and impulsive behaviors.
When analyzing cues, the nurse should recognize that
manifestations of sleep terrors include a partial awakening during a
deep sleep. Sleep terrors are sleep disturbances that cause a child
to exhibit behaviors such as thrashing, screaming, moaning, and
diaphoresis that disappear once the child awakens. The child does
not remember the episode and is not comforted by others during the
disturbance. The child usually falls asleep easily afterwards. Sleep
terrors cause interruptions in the sleep-wake cycle and can cause
impaired concentration, daytime fatigue, and impulsive behaviors.
A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day
PO to a school-age child who weighs 75 lb. Available is atomoxetine
40 mg/capsule. How many capsules should the nurse administer per
day? Round to the nearest whole number.
CORRECT ANSWER:
1
Rationale:
75 lb = 34.0909 kg
1.2 mg x 34.0909 kg = 40.9090
,40. = 1.02 = 1
A nurse is caring for a toddler who has acute otitis media and a
temperature of 40 C (104 F). After administering acetaminophen,
which of the following actions should the nurse plan to take to
reduce the toddler's temperature?
CORRECT ANSWER:
-Dress the toddler in minimal clothing
Rationale: The nurse should recognize that dressing the toddler in
minimal clothing will expose the skin to air and maximize heat
evaporation from the skin, thus reducing the toddler's temperature.
A nurse on a pediatric unit is caring for a school-age child. After
reviewing the information in the child's medical record, which of the
following findings should the nurse report to the provider?
Select the 4 findings that the nurse should report to the provider.
CORRECT ANSWER:
-Arterial blood gases
Rationale: The child's arterial blood gases (ABGs) indicate
respiratory alkalosis, which is associated with complications of
asthma, such as hyperventilation and hypoxia. Therefore, the nurse
should report these findings to the provider.
-WBC Count
Rationale: The child's WBC count is above the expected reference
range, which could be an indication of infection or inflammation.
Therefore, the nurse should report this finding to the provider.
-Oxygen Saturation
Rationale: The child's oxygen saturation level has decreased below
the expected reference range despite the use of supplemental
oxygen. Therefore, the nurse should report this finding to the
provider.
, -Respiratory Assessment
Rationale: The child's respiratory assessment indicates increased
respiratory distress, as evidenced by the presence of tachypnea,
retractions, and increased wheezing. Therefore, the nurse should
report these findings to the provider.
A nurse is caring for a preschooler who has congestive heart failure.
The nurse observes wide QRS complexes and peaked T waves on
the cardiac monitor. Which of the following prescriptions should the
nurse clarify with the provider?
CORRECT ANSWER:
-Potassium chloride
Rationale: The nurse should identify that a child who has congestive
heart failure can develop electrolyte imbalances, such as
hyperkalemia or hypokalemia. The nurse should identify that the
child is exhibiting manifestations of hyperkalemia and contact the
provider about the administration of potassium chloride, which can
increase the severity of hyperkalemia.
A nurse is caring for a toddler. Complete the diagram by dragging
from the choices below to specify what condition the client is most
likely experiencing, 2 actions the nurse should take to address that
condition, and 2 parameters the nurse should monitor to assess the
client's progress.
CORRECT ANSWER:
Potential Condition: Cystic Fibrosis
Actions to take:
1: Educate the guardian about swear chloride testing.
2: Prepare toddler for chest physiotherapy.
Parameters to Monitor:
1: Oxygen saturation level
Questions & Answers ,Rationales | 100 %
Verified and Updated | Guarantee Pass | Actual
Questions with Correct Answers| Latest Exam
and Newest Version!!!!
A nurse is providing dietary teaching to the parent of a school -age
child who has celiac disease. The nurse should recommend that the
parent offer which of the following foods to the child?
CORRECT ANSWER:
-White rice
Rationale: The nurse should recommend that the parent offer white
rice to the child because it is a gluten-free food. The nurse should
instruct the parent that the child will remain on a lifelong gluten-free
diet and the child should not consume oats, rye, barley, or wheat,
and that sometimes lactose deficiency can be secondary to this
disease.
A nurse is caring for a preschool-age child. For each assessment
finding, click to specify if the finding is consistent with nightmares or
sleep terrors. Each finding may support more than 1 disease
process.
CORRECT ANSWER:
-Timing of child's crying: Nightmares
-Child's responsiveness to guardian: Nightmares
-Child's return to sleeping: Sleep terrors
,-Child's description of the dream: Nightmares
-Impulsivity: Sleep terrors and Nightmares
-Child's concentration: Sleep terrors and Nightmares
-Daytime alertness: Sleep terrors and Nightmares
Rationale: When analyzing cues, the nurse should recognize that
manifestations of nightmares include awakening during the night
after a scary dream. Nightmares are a sleep disturbance that cause
distress after the dream is over. The child might be crying, fearful of
returning to sleep, and believe the dream is real. Sleep disturbances
cause interruptions in the sleep-wake cycle and can cause impaired
concentration, daytime fatigue, and impulsive behaviors.
When analyzing cues, the nurse should recognize that
manifestations of sleep terrors include a partial awakening during a
deep sleep. Sleep terrors are sleep disturbances that cause a child
to exhibit behaviors such as thrashing, screaming, moaning, and
diaphoresis that disappear once the child awakens. The child does
not remember the episode and is not comforted by others during the
disturbance. The child usually falls asleep easily afterwards. Sleep
terrors cause interruptions in the sleep-wake cycle and can cause
impaired concentration, daytime fatigue, and impulsive behaviors.
A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day
PO to a school-age child who weighs 75 lb. Available is atomoxetine
40 mg/capsule. How many capsules should the nurse administer per
day? Round to the nearest whole number.
CORRECT ANSWER:
1
Rationale:
75 lb = 34.0909 kg
1.2 mg x 34.0909 kg = 40.9090
,40. = 1.02 = 1
A nurse is caring for a toddler who has acute otitis media and a
temperature of 40 C (104 F). After administering acetaminophen,
which of the following actions should the nurse plan to take to
reduce the toddler's temperature?
CORRECT ANSWER:
-Dress the toddler in minimal clothing
Rationale: The nurse should recognize that dressing the toddler in
minimal clothing will expose the skin to air and maximize heat
evaporation from the skin, thus reducing the toddler's temperature.
A nurse on a pediatric unit is caring for a school-age child. After
reviewing the information in the child's medical record, which of the
following findings should the nurse report to the provider?
Select the 4 findings that the nurse should report to the provider.
CORRECT ANSWER:
-Arterial blood gases
Rationale: The child's arterial blood gases (ABGs) indicate
respiratory alkalosis, which is associated with complications of
asthma, such as hyperventilation and hypoxia. Therefore, the nurse
should report these findings to the provider.
-WBC Count
Rationale: The child's WBC count is above the expected reference
range, which could be an indication of infection or inflammation.
Therefore, the nurse should report this finding to the provider.
-Oxygen Saturation
Rationale: The child's oxygen saturation level has decreased below
the expected reference range despite the use of supplemental
oxygen. Therefore, the nurse should report this finding to the
provider.
, -Respiratory Assessment
Rationale: The child's respiratory assessment indicates increased
respiratory distress, as evidenced by the presence of tachypnea,
retractions, and increased wheezing. Therefore, the nurse should
report these findings to the provider.
A nurse is caring for a preschooler who has congestive heart failure.
The nurse observes wide QRS complexes and peaked T waves on
the cardiac monitor. Which of the following prescriptions should the
nurse clarify with the provider?
CORRECT ANSWER:
-Potassium chloride
Rationale: The nurse should identify that a child who has congestive
heart failure can develop electrolyte imbalances, such as
hyperkalemia or hypokalemia. The nurse should identify that the
child is exhibiting manifestations of hyperkalemia and contact the
provider about the administration of potassium chloride, which can
increase the severity of hyperkalemia.
A nurse is caring for a toddler. Complete the diagram by dragging
from the choices below to specify what condition the client is most
likely experiencing, 2 actions the nurse should take to address that
condition, and 2 parameters the nurse should monitor to assess the
client's progress.
CORRECT ANSWER:
Potential Condition: Cystic Fibrosis
Actions to take:
1: Educate the guardian about swear chloride testing.
2: Prepare toddler for chest physiotherapy.
Parameters to Monitor:
1: Oxygen saturation level
