NGN ATI RN Pediatrics Exam 2023 A Version 2 | Questions and Verified Answers| 100% Correct| A Grade
QUESTION
A charge nurse in an emergency
... [Show More] department is preparing an in-service for a group of a newly licensed nurses about the manifestations of child maltreatment. Which of the following manifestations should the charge nurse include as a potential indication of physical abuse?
a. recurrent urinary tract infections
b. symmetric burns of the lower extremities
c. failure to thrive
d. lack of subcutaneous fat
Answer:
b. symmetric burns of the lower extremities
The nurse should include that symmetric burns to the lower extremities can indicate physical abuse. The patterns are usually characteristic of the method or object used, such as cigar or cigarette burns, or burns in the shape of an iron.
QUESTION
A nurse is caring for a 10-year-old child following a head injury. Which of the following findings should the nurse identify as an indication that the child is developing diabetes insipidus?
a. increased urine specific gravity
b. increased sodium level
c. decreased oral fluid intake
d. decreased urine output
Answer:
b. increased sodium level
A child who has a head injury can develop diabetes insipidus because of pituitary hypofunction leading to a deficiency of antidiuretic hormone. Underexcretion of antidiuretic hormone leads to polyuria and polydipsia, and dehydration. With the excessive loss of free water, sodium levels increase.
QUESTION
A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should instruct the parent to apply which of the following to the affected area?
a. antibiotic ointment
b. zinc oxide
c. talcum power
d. antiseptic solution
Answer:
b. zinc oxide
Diaper dermatitis is a common inflammatory skin disorder caused by contact with an irritant such as urine, feces, soap, or friction, and takes the form of scaling, blisters, or papules with erythema. Providing a protective barrier, such as zinc oxide, against the irritants allows the skin to heal.
QUESTION
A nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury. Which of the following interventions should the nurse include in the plan?
a. implement seizure precautions for the infant
b. perform a neurological assessment every 4 hr
c. suction the infant's nares to remove secretions
d. position the infant side-lying with their head at a 0-5 degree angle
Answer:
a. implement seizure precautions for the infant
An infant who has an epidural hematoma is at great risk for seizure activity. Therefore, the nurse should implement seizure precautions for the child.
QUESTION
A charge nurse is preparing to make a room assignment for a newly admitted school-age child. Which of the following considerations is the nurse's priority?
a. length of day
b. treatment schedule
c. disease process
d. self-care ability
Answer:
c. disease process
The transmission of infectious diseases is the greatest risk to this child and other children on the unit. Therefore, the child's disease process is the nurse's priority consideration.
QUESTION
A community health nurse is assessing an 18-month-old toddler in a community day care. Which of the following findings should the nurse identify as a potential indication of physical neglect?
a. resists having an axillary temperature taken
b. exhibits withdrawal behaviors when their parent leaves
c. has multiple bruises on their knees
d. poor personal hygiene
Answer:
d. poor personal hygiene
A toddler's poor personal hygiene can be a potential indication of physical neglect. Because toddlers are still dependent on their parents or guardians for help with hygiene needs, poor personal hygiene can indicate a lack of supervision.
QUESTION
A nurse is providing teaching to the parent of a school-age child who has a new prescription for oral nystatin for the treatment of oral candidiasis. Which of the following instructions should the nurse include?
a. "Shake the medication prior to administration."
b. "Provide the medication through a straw."
c. "Rinse the child's mouth with water immediately after giving the medication."
d. "Mix the medication with applesauce if the child dislikes the taste."
Answer:
a. "Shake the medication prior to administration."
The nurse should instruct the parent to shake the medication prior to administration to disperse the medication evenly within the suspension.
QUESTION
A nurse is providing teaching to the parents of a preschooler who has heart failure and a new prescription for digoxin twice daily. Which of the following instructions should the nurse include in the teaching?
a. "Use a kitchen teaspoon to measure the medication."
b. "Brush the child's teeth after giving the medication."
c. "Double the next dose if the child misses a dose."
d. "Repeat the dose if the child vomits." [Show Less]