NGN ATI RN Pediatrics Exam 2023 B Version 1 | Questions and Verified Answers| 100% Correct| A Grade
QUESTION
A nurse is caring for an infant who
... [Show More] has respiratory syncytial virus (RSV). Which of the following actions should the nurse implement for infection control?
- Have a designated stethoscope in the infant's room.
- Place the infant in a room equipped with negative airflow.
- Administer palivizumab as prescribed for the infant.
- Remove gloves after leaving the infant's room.
Answer:
- Have a designated stethoscope in the infant's room.
Rationale: The nurse should initiate droplet precautions for an infant who has RSV because the virus is spread by direct contact with respiratory secretions. Therefore, designated equipment, such as a BP cuff & stethoscope, should be placed in the infant's room.;
QUESTION
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?
- BP 90/50 mmHg
- RR 45/min
- Weight 14.5 kg (32 lb.)
- HR 110/min
Answer:
- RR 45/min
Rationale: The nurse should identify that a RR of 45/min is above the expected reference range of 20 to 25/min for a 3-year-old toddler & can indicate respiratory dysfunction & acute respiratory distress. Therefore, the nurse should report this finding to the provider.
QUESTION
A nurse is reviewing the laboratory report of a 7-year-old child who is receiving chemotherapy. Which of the following laboratory tests should the nurse review to evaluate for anemia?
- Hgb
- WBC count
- Prealbumin
- Platelets
Answer:
- Hgb
Rationale: A child receiving chemotherapy is at risk for anemia due to the chemotherapy effects on the blood-forming cells of the bone marrow. The development of anemia is diagnosed through laboratory testing of hemoglobin & hematocrit levels.
QUESTION
A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistent asthma. Which of the following instructions should the nurse include?
- "You should give your child their salmeterol inhaler every 4 hours when they are having an acute episode of wheezing."
- "You should monitor your child's weight weekly while they are receiving inhaled corticosteroid therapy."
- "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy."
- "When using the peak expiratory flow meter, record your child's average of 3 readings."
Answer:
- "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy."
Rationale: The nurse should inform the parents that their child will need pulmonary function tests every 12 to 24 months to evaluate the presence of lung disease & how the child is responding to the current treatment regimen. As children grow, sometimes their manifestations can improve or decline, & treatment needs to change accordingly.
QUESTION
A nurse is caring for an infant who is receiving treatment for severe dehydration. The nurse should identify which of the following findings as indicators that the treatment is effective?
- Irritability
- Capillary refill < 2 seconds
- Weight loss > 10%
- Oliguria
Answer:
- Capillary refill < 2 seconds
Rationale: The nurse should identify that a capillary refill < 2 seconds indicates the current treatment regimen the infant is receiving for dehydration is effective.
QUESTION
A nurse is receiving change-of-shift report for 4 children. Which of the following children should the nurse assess first?
- An adolescent who was placed into halo traction 1 hr ago & reports pain as 6 on a scale of 0 to 10.
- An adolescent who has infective endocarditis & reports having a headache.
- A toddler who has a concussion & is experiencing an episode of forceful vomiting.
- A school-age child who has acute glomerulonephritis & brown-colored urine.
Answer:
- A toddler who has a concussion & is experiencing an episode of forceful vomiting.
Rationale: When using the urgent [Show Less]