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Ati N400 Pediatrics Exam 2

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Total Questions : 46

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Question 1:

A child diagnosed with Hirschsprung's disease is scheduled for surgery. Which of the following actions should the nurse include in the preoperative care for this child? (Select All that Apply.)

Answer and Explanation

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Question 2:

What is the appropriate method to protect the sac in a newborn with spina bifida prior to repair?

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Question 3:

A nurse is planning interventions for a client who has atopic dermatitis. Which of the following interventions should the nurse prioritize for controlling manifestations of the condition? (Select All that Apply.)

Answer and Explanation

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Question 4:

A child is ordered Digoxin 0.025mg PO daily (digoxin elixir).

The child weighs 6kg.

The reference safe dose is 0.03 to 0.06mg/kg/day

What is the minimum dosage this child should get? Do not use a trailing zero. Round to the Hundredth Place)

Answer and Explanation
Correct Answer: "0.18" mg/day

Explanation

To calculate the minimum safe dosage for this child, let's follow these steps:

  1. Reference safe dose range:

    • Minimum dose = 0.03 mg/kg/day.

  2. Child's weight:

    • 6 kg.

  3. Calculate the minimum dose:

Minimumdose=0.03 mg×6 kg=0.18 mg/day


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Question 5:

A nurse is caring for a child who ingested kerosene. Which of the following assessments is the nurse's priority?

Answer and Explanation

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Question 6:

A nurse is providing discharge teaching to the caregiver of a 3•year•old client with Wilms' tumor who is being discharged after a nephrectomy. Which of the following statements indicates the caregiver understands the activity restrictions now that the client has one kidney? "My child can:

Answer and Explanation

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Question 7:

Which live vaccines should be avoided for 11 months in a child diagnosed with Kawasaki disease?

Answer and Explanation

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Question 8:

A nurse is reinforcing education to parents of an infant who has intussusception. Which of the following statements would the nurse provide to the parents? "Intussusception:

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Question 9:

A nurse is preparing to administer digoxin to a 12 year-old child. Prior to administering the dose. the nurse measures the apical heart rate. The nurse should withhold the dose if the child's apical heart rate is less than what rate?

Answer and Explanation
Correct Answer: "70" beats/minute

Explanation

The nurse should withhold digoxin if the child's apical heart rate is less than 70 beats per minute because digoxin slows the conduction of electrical signals in the heart and increases the force of cardiac contraction. While this helps to treat conditions like heart failure and arrhythmias, it can also lead to bradycardia. Administering digoxin when the heart rate is already too low increases the risk of adverse effects like severe bradycardia or even cardiac arrest.


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Question 10:

The nurse understands the rationale for utilizing N-acetylcysteine for acetaminophen ingestions in children is to:

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