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Exam Review

ATI RN Paediatric Nursing 2023

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Total Questions : 55

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Question 1:

School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamin A, D, E, and K.

  • Barrel-shaped chest
  • Clubbing of the fingers bilaterally
  • Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough
  • Temperature 38.4° C (101.1° F)
  • Heart rate 100/min
  • Respiratory rate 40/min
  • Blood pressure 100/57 mm Hg
  • Sputum culture positive for Pseudomonas aeruginosa
  • Stool analysis positive for presence of fat and enzymes
  • Chest x-ray indicates obstructive emphysema
  • WBC count 20,000/mm3 (5,000 to 10,000/mm3)

A nurse is caring for a school-age child who has cystic fibrosis.

Exhibits

A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.

 

Answer and Explanation

A
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Question 2:

A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right- sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10.

  • Temperature 37.8° C (100° F)
  • Heart rate 100/min
  • Blood pressure 110/72 mm Hg
  • Respiratory rate 20/min
  • Oxygen saturation 95% on room air
  • Awake, alert, and oriented x 3
  • Yellow sclera of eyes noted bilaterally
  • Right upper quadrant tender to palpation
  • Hands painful to touch and swollen bilaterally
  • Right knee is swollen, warm to palpation, and the client reports pain as 8 on a scale of 0 to 10.
  • Client is tearful and grimacing during the examination.

A nurse is caring for an adolescent who is admitted with a vaso-occlusive crisis.

Exhibits

The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.

Answer and Explanation

A
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Question 3:

A nurse is caring for a child who has disseminated intravascular coagulation. Which of the following laboratory findings should the nurse expect?

Answer and Explanation

A
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Question 4:
A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider?
Answer and Explanation

A
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Question 5:

A nurse is providing teaching about injury prevention to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching?

Answer and Explanation

A
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Question 6:
A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy. Which of the following statements should the nurse include?
Answer and Explanation

A
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Question 7:
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram. Which of the following statements should the nurse make?

Answer and Explanation

A
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Question 8:
A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first?
Answer and Explanation

A
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Question 9:
A nurse is teaching a newly licensed nurse about infant safety. Which of the following information should the nurse include in the teaching?
Answer and Explanation

A
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Question 10:
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis. Which of the following actions should the nurse take first?
Answer and Explanation

A
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