ATI PEDS TEST B with RATIONALES RATED A+ 2024

A nurse on a pediatric unit is admitting a preschooler. After reviewing the information in the medical record, the nurse should identify that the child is at risk for developing which of the following conditions? Complete the following sentence by using the list of options. - dropdown 1: splenomegaly dropdown 2: positive mononucleosis rapid test Nurses' Notes 1000, 1 week ago: Parent presents to primary care provider's office with 13-month-old. Parent states the toddler is having trouble passing stool. States this has been happening on and off for the last few months. Toddler is awake and alert. S1 and S2 auscultated, no murmur. Respirations unlabored. Hypoactive bowel sounds. Provider recommended over-the-counter stool softener and encouraged hydration and increasing fruits and vegetables in diet. - Click to highlight the findings that require follow-up. To deselect a finding, click on the finding again highlight: When recognizing cues, the nurse should identify that the assessment findings of lethargy, disinterest in eating, hypoactive bowel sounds, distended abdomen, palpable fecal mass, ribbon-like, foul-smelling stools and elevated blood pressure require follow-up. These findings indicate the toddler's constipation has worsened and the toddler needs further evaluation for suspected Hirschsprung's disease. 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 - potassium chlorideFor each assessment finding, click to specify if the finding is consistent with nightmares, sleep terrors, or insomnia. Each finding may support more than 1 disease process. - When analyzing cues, the nurse should recognize that manifestations of nightmares include awakening during the night after a scary dream. Nightmares are sleep disturbances 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 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, daytim 0830:Child is alert and responsive to stimuli. Skin is warm and dry. Capillary refill less than 3 seconds. Respirations regular and shallow. Mild intercostal retractions noted. Expiratory wheezes auscultated in the anterior and posterior lung bases. Abdomen is soft, flat, and non-distended. - arterial blood gases, WBC, oxygen sat, respiratory assessment A nurse is assessing a 3-year-old toddler at a well-child visit. Which of the following manifestations should the nurse report to the provider? - rest of 45 per min 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. - middle- cystic fibrosiseducate the parents on sweat chloride testing and prepare for chest physiotherapy monitor the oxygen saturation and stools Which of the following statements by a guardian indicate that the discharge teaching was effective? Select all that apply. - apply skin emollient keep the fingernails trimmed short use a mild detergent for laundry A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN for a temperatures above 38.0º C (100.5º F) to an infant who weighs 17.6 lb. Available is ibuprofen oral suspension 100 mg/5 mL. How many mL should the nurse administer to the infant per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - 2ml per dose A nurse is providing discharge teaching to the guardians of a toddler who had a lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following findings to the provider? - restricted ability to move the toes A nurse is preparing to administer an immunization to a 4-year-old child. Which of the following actions should the nurse plan to take? - administer the imms using a 24 gauge needle A hospice nurse is caring for a preschooler who has a terminal illness. One of the preschooler's parents tells the nurse that they cannot cope anymore and are thinking about moving out of the house. Which of the following statements shouldthe nurse make? - lets talk about some of the ways you have handled previous stressors in your life A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect? - deep respirations of 32/ min A nurse is caring for a school-age child who has experienced a tonic-clonic seizure. Which of the following actions should the nurse take during the immediate postictal period? - place the child in a side lying position A nurse is assessing a school-age child who has meningitis. Which of the following findings is the priority for the nurse to report to the provider? - petechiae on the lower extremities A nurse in an emergency department is caring for a school-age child who has appendicitis and rates their abdominal pain as 7 on a scale of 0 to 10. Which of the following actions should the nurse take? - give morphine 0.05 A nurse is planning an educational program to teach caregivers about protecting their children from sunburns. Which of the following instructions should the nurse plan to include? - choose a waterproof sunscreen with a minimum of spf of 15