ATI Peds 2023 B with NGN-rationales
Exam GRADED A+
A nurse is providing discharge teaching to the guardian of a school age child who
has undergone a tonsillectomy. Which of the following statements by the guardian
indicates an understanding the teaching?
a. "my child can resume usual activities since this year just an outpatient surgery."
b. "my child will be able to drink the chocolate milkshake I promised to get for
them tonight."
c. "I will notify the doctor if I notice that my child is swallowing frequently."
d. "I will have my child gargle with warm salt water to relieve their sore throat." -
ANSWER C
"My child can resume usual activities since this was just an outpatient
surgery."Activity should be limited following a tonsillectomy to decrease the risk
of hemorrhage.
"My child will be able to drink the chocolate milkshake I promised to get for them
tonight."Milk products should be avoided because they coat the child's throat,
which can initiate a cough response and increase the risk of bleeding. Brown and
red foods should be avoided during the immediate postoperative period so that
food and fresh or old blood are distinguishable in the child's emesis.
"I will notify the doctor if I notice that my child is swallowing frequently."MY
,ANSWERThe nurse should instruct the parent that frequent swallowing is an
indication of bleeding and, if it is observed, to notify the provider immediately.
"I will have my child gargle with warm salt water to relieve their sore
throat."Gargles are likely to cause irritation and discomfort and can increase the
risk of bleeding following a tonsillectomy. The child should receive adequate pain
medication following the procedure and can wear an ice collar if tolerated.
A nurse is discussing organ donation with the parents of a school age child who
has sustained brain death due to a bicycle crash. Which of the following actions
should the nurse take first?
a. inform the parents that written consent is required prior to organ donation
b. provide written information to the parents about organ donation
c. ask the provider to explain misconceptions of organ donation to the parents.
d. explore the parents feelings and wishes regarding organ donation - ANSWER
D
The nurse should inform the parents that written consent is required prior to
organ donation to document that the parents have consented to organ donation
and that the provider has addressed any questions or concerns the parents might
have. However, there is another action the nurse should take first.
The nurse should provide written information to the parents to enhance their
understanding of organ donation. However, there is another action the nurse
should take first.
The nurse should ask the provider to explain misconceptions of organ donation to
the parents because it is important that they have accurate information before
making a final decision. However, there is another action the nurse should take
,first.
The first action the nurse should take when using the nursing process is
assessment. The nurse should first explore the parents' feelings and wishes
regarding organ donation to assist in determining if organ donation is the right
choice for the family.
A nurse is caring for a newly admitted school age child who has hypopituitarism.
Which of the following medications should the nurse expect the provider to
prescribe?
a. Desmopressin
b. Luteinizing hormone-releasing hormone
c. Recombinant growth hormone
d. Levothyroxine - ANSWER C
Desmopressin is used to treat the hyposecretion of antidiuretic hormones.
Luteinizing hormone-releasing hormone is used in the treatment of precocious
puberty to slow prepubertal growth in children and in the treatment of advanced
prostate cancer in adult clients.
Recombinant growth hormone injections are used to treat hypopituitarism, which
inhibits cell growth and results in growth failure. The nurse should expect the
provider to prescribe this treatment.
Levothyroxine is used to treat various hypothyroid conditions.
, A nurse is providing discharge teaching to he parents of a 3 month old infant
following a cheiloplasty. Which of the following instructions should the nurse
include?
a. "clean your baby's sutures daily with a mixture of chlorhexidine and water."
b. "expect your baby to swallow more than usual over the next few days."
c. "inspect your baby's tongue for white patches using a tongue depressor every 8
hours."
d. "apply a thin layer of antibiotic ointment on your baby's suture line daily for the
next 3 days." - ANSWER D
The nurse should instruct the parents to clean the infant's sutures with sterile
water or diluted hydrogen peroxide.
The nurse should instruct the parents to notify the provider of excessive
swallowing because this can indicate bleeding and the infant's swallowing of
blood.
The nurse should instruct the parents to avoid placing objects, such as tongue
depressors, in the infant's mouth to prevent injury to the suture line.
The nurse should instruct the parents to apply a thin layer of antibiotic ointment
on the infant's suture line daily for 3 days and then continue to apply petroleum
jelly to the area for several weeks to promote healing.
A nurse is caring for a school age child who has peripheral edema. The nurse
should identify that which of the following assessments should be performed to
confirm peripheral edema?
a. palpate the dorsum of the child's feet
b. weigh the child daily using the same scale
Exam GRADED A+
A nurse is providing discharge teaching to the guardian of a school age child who
has undergone a tonsillectomy. Which of the following statements by the guardian
indicates an understanding the teaching?
a. "my child can resume usual activities since this year just an outpatient surgery."
b. "my child will be able to drink the chocolate milkshake I promised to get for
them tonight."
c. "I will notify the doctor if I notice that my child is swallowing frequently."
d. "I will have my child gargle with warm salt water to relieve their sore throat." -
ANSWER C
"My child can resume usual activities since this was just an outpatient
surgery."Activity should be limited following a tonsillectomy to decrease the risk
of hemorrhage.
"My child will be able to drink the chocolate milkshake I promised to get for them
tonight."Milk products should be avoided because they coat the child's throat,
which can initiate a cough response and increase the risk of bleeding. Brown and
red foods should be avoided during the immediate postoperative period so that
food and fresh or old blood are distinguishable in the child's emesis.
"I will notify the doctor if I notice that my child is swallowing frequently."MY
,ANSWERThe nurse should instruct the parent that frequent swallowing is an
indication of bleeding and, if it is observed, to notify the provider immediately.
"I will have my child gargle with warm salt water to relieve their sore
throat."Gargles are likely to cause irritation and discomfort and can increase the
risk of bleeding following a tonsillectomy. The child should receive adequate pain
medication following the procedure and can wear an ice collar if tolerated.
A nurse is discussing organ donation with the parents of a school age child who
has sustained brain death due to a bicycle crash. Which of the following actions
should the nurse take first?
a. inform the parents that written consent is required prior to organ donation
b. provide written information to the parents about organ donation
c. ask the provider to explain misconceptions of organ donation to the parents.
d. explore the parents feelings and wishes regarding organ donation - ANSWER
D
The nurse should inform the parents that written consent is required prior to
organ donation to document that the parents have consented to organ donation
and that the provider has addressed any questions or concerns the parents might
have. However, there is another action the nurse should take first.
The nurse should provide written information to the parents to enhance their
understanding of organ donation. However, there is another action the nurse
should take first.
The nurse should ask the provider to explain misconceptions of organ donation to
the parents because it is important that they have accurate information before
making a final decision. However, there is another action the nurse should take
,first.
The first action the nurse should take when using the nursing process is
assessment. The nurse should first explore the parents' feelings and wishes
regarding organ donation to assist in determining if organ donation is the right
choice for the family.
A nurse is caring for a newly admitted school age child who has hypopituitarism.
Which of the following medications should the nurse expect the provider to
prescribe?
a. Desmopressin
b. Luteinizing hormone-releasing hormone
c. Recombinant growth hormone
d. Levothyroxine - ANSWER C
Desmopressin is used to treat the hyposecretion of antidiuretic hormones.
Luteinizing hormone-releasing hormone is used in the treatment of precocious
puberty to slow prepubertal growth in children and in the treatment of advanced
prostate cancer in adult clients.
Recombinant growth hormone injections are used to treat hypopituitarism, which
inhibits cell growth and results in growth failure. The nurse should expect the
provider to prescribe this treatment.
Levothyroxine is used to treat various hypothyroid conditions.
, A nurse is providing discharge teaching to he parents of a 3 month old infant
following a cheiloplasty. Which of the following instructions should the nurse
include?
a. "clean your baby's sutures daily with a mixture of chlorhexidine and water."
b. "expect your baby to swallow more than usual over the next few days."
c. "inspect your baby's tongue for white patches using a tongue depressor every 8
hours."
d. "apply a thin layer of antibiotic ointment on your baby's suture line daily for the
next 3 days." - ANSWER D
The nurse should instruct the parents to clean the infant's sutures with sterile
water or diluted hydrogen peroxide.
The nurse should instruct the parents to notify the provider of excessive
swallowing because this can indicate bleeding and the infant's swallowing of
blood.
The nurse should instruct the parents to avoid placing objects, such as tongue
depressors, in the infant's mouth to prevent injury to the suture line.
The nurse should instruct the parents to apply a thin layer of antibiotic ointment
on the infant's suture line daily for 3 days and then continue to apply petroleum
jelly to the area for several weeks to promote healing.
A nurse is caring for a school age child who has peripheral edema. The nurse
should identify that which of the following assessments should be performed to
confirm peripheral edema?
a. palpate the dorsum of the child's feet
b. weigh the child daily using the same scale
