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ATI PEDS ATI 2019 B WITH NGN/RATIONALES QUESTIONS AND ANSWERS
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ATI PEDS ATI 2019 B WITH NGN/RATIONALES QUESTIONS AND ANSWERS
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ATI PEDS ATI 2019 B WITHNGN/RATIONALES QUESTIONS AND
ANSWERS
Axnursexisxassessingxthexpainxlevelxofxax3xyearxoldxtoddler.xWhichxofxthexfollowingxassessm
entxscalesxshouldxthexnursexuse?
a.xFACES
b.xNumeric
c.xCRIES
d.xVisualxanalogx-xans✔✔A
ThexnursexshouldxusexthexFACESxpainxratingxscalexforxpediatricxclientsxwhoxarex3xyearsxold
xandxolder.xThisxscalexallowsxthextoddlerxtoxpointxtoxthexfacexthatxdepictsxtheirxcurrentxlevelx
ofxpain.xThexnursexcanxthenxdeterminexthexneedxforxpainxmanagement.
Axnursexisxplanningxanxeducationalxprogramxtoxteachxparentsxaboutxprotectingxtheirxchildre
nxfromxsunburns.xWhichxofxthexfollowingxinstructionsxshouldxthexnursexplanxtoxinclude?
a.x"allowxyourxchildxtoxplayxoutsidexduringxthexhoursxbetweenx10:00amxandx2:00pm."
b.x"choosexaxwaterproofxsunscreenxwithxaxminimumxSPFxofx15."
c.x"dressxyouxchildxinxloosexweavexpolyesterxfabricxpriorxtoxsunxexposure."
d.x"reapplyxsunscreenxeveryx4xhours."x-xans✔✔B
Thexnursexshouldxinstructxparentsxtoxavoidxallowingxtheirxchildrenxtoxplayxoutsidexduringxth
exhoursxbetweenx1000xandx1400xbecausexthexchildxisxatxgreatestxriskxforxdevelopingxaxsunb
urnxduringxthisxtime.
ThexnursexshouldxinstructxparentsxtoxapplyxaxwaterproofxsunscreenxwithxaxminimumxSPFxof
x15xforxchildren.xThexparents xshouldxapplyxthexsunscreenxpriorxtoxsunxexposurextoxreducext
hexriskxofxsunburn.
Thexnursexshouldxinstructxparentsxtoxdressxtheirxchildrenxinxtightxweavexcottonxfabricxpriorxt
oxsunxexposurextoxprotectxthexskinxfromxthexsun.
Thexnursexshouldxinstructxparentsxtoxreapplyxsunscreenxeveryx2xtox3xhr.
Axnursexisxperformingxhearingxscreeningsxforxchildrenxatxaxcommunityxhealthxfair.xWhichxofx
thexfollowingxchildrenxshouldxthexnursexreferxtoxaxproviderxforxaxmorexextensivexhearingxeva
luation?
,a.xanx18xmonthxoldxtoddlerxwhoxhasxunintelligiblexspeech
b.xax3xmonthxoldxinfantxwhoxhasxexaggeratedxstartlexresponsex
c.xax4xyearxoldxpreschoolerxwhoxprefersxplayingxwithxothersxratherxthanxalone
d.xanx8xmonthxoldxinfantxwhoxisxnotxyetxmakingxbabblingxsoundsx-xans✔✔D
Thexnursexshouldxreferxaxtoddlerxwhoxdoesxnotxpossessxintelligiblexspeechxbyxthexagexofx24
xmonthsxtoxaxproviderxforxaxmorexextensivexevaluationxofxhearing.
Thexnursexshouldxreferxinfantsxwhoxarexunderxthexagexofx4xmonthsxandxlackxaxstartlexrespo
nsextoxaxproviderxforxaxmorexextensivexevaluationxofxhearing.
Thexnursexshouldxreferxaxpreschoolerxwhoxprefersxplayingxalonexandxavoidsxinteractionxwit
hxothersxtoxaxproviderxforxaxmorexextensivexevaluationxofxhearing.
Thexnursexshouldxreferxanxinfantxwhoxisxnotxmakingxbabblingxsoundsxbyxthexagexofx7xmonth
sxtoxaxproviderxforxaxmorexextensivexevaluationxofxhearing.
Axnursexinxanxemergencyxdepartmentxisxassessingxax3xmonthxoldxinfantxwhoxhasxrotavirusx
andxisxexperiencingxacutexvomitingxandxdiarrhea.xWhichxofxthexfollowingxmanifestationsxsh
ouldxthexnursexidentifyxasxanxindicationxthatxthexinfantxhasxmoderatextoxseverexdehydration
?
a.xHRx124
b.xincreasedxtearxproduction
c.xsunkenxanteriorxfontanel
d.xcapillaryxrefillx2xsecondsx-xans✔✔C
Axheartxratexofx124/minxisxwithinxthexexpectedxreferencexrangexofx106xtox186/minxforxax3-
xtoxthex5-month-
oldxinfant.xThexnursexshouldxexpectxthexinfantxwhoxhasxmoderatextoxseverexdehydrationxtox
havextachycardia.
Anxinfantxwhoxhasxmoderatextoxseverexdehydrationxisxmorexlikelyxtoxhavexanxabsencexofxte
arsxratherxthanxincreasedxtearxproduction.
Thexnursexshouldxrecognizexthatxaxsunkenxanteriorxfontanelxisxanxindicationxofxmoderatextox
severexdehydrationxduextoxthexacutexlossxofxfluid.
Axcapillaryxrefillxofx2xsecondsxisxwithinxthexexpectedxreferencexrangexofx2xsecondsxorxlessxfo
rxax3-month-
oldxinfant.xAnxinfantxwhoxhasxmoderatextoxseverexdehydrationxisxmorexlikelyxtoxhavexaxdelay
edxcapillaryxrefillxofxgreaterxthanx2xseconds.
Axnursexisxprovidingxteachingxtoxthexfamilyxofxaxschool-
agexchildxwhoxhasxjuvenilexidiopathicxarthrisis.xWhichxofxthexfollowingxinstructionsxshouldxt
hexnursexincludexinxthexteaching?
,a.x"limitxmovementxofxthexchild'sxlargexjoints"
b.x"encouragexthexchildxtoxperformxindependentxself-care."
c.x"providexthexchildxwithxaxsoftxmattressxforxsleeping."
d.x"schedulexax2xhourxdailyxnapxforxthexchildxinxthexafternoon."x-xans✔✔B
"Limitxmovementxofxthexchild'sxlargexjoints."Largexjointsxshouldxbexexercisedxregularlyxtoxm
aintainxmobilityxandxstrengthenxmuscles.
"Encouragexthexchildxtoxperformxindependentxself-
care."MYxANSWERThexnursexshouldxteachxthexfamilyxtheximportancexofxencouragingxthex
childxtoxperformxindependentxself-
care.xThisxwillxminimizexthexchild'sxpainxwhilexmaximizingxmobility.xEncouragingxandxpraisi
ngxthexchild'sxeffortsxforxindependencexwillxalsoxincreasextheirxself-esteem.
"Providexthexchildxwithxaxsoftxmattressxforxsleeping."Childrenxwhoxhavexjuvenilexidiopathicx
arthritisxshouldxsleepxonxaxfirmxmattressxtoxprovidexsupportxinxmaintainingxjointsxinxaxfunctio
nalxposition.
"Schedulexax2-
hourxdailyxnapxforxthexchildxinxthexafternoon."Daytimexnapsxarexdiscouragedxbecausexstiffn
essxcanxoccurxquicklyxandxeasilyxwithxinactivity,xandxnapsxcanxinterferexwithxnighttimexslee
ping.
Axnursexisxplanningxcarexforxaxschoolxagexchildxwhoxhasxaxtunneledxcentralxvenousxaccessx
device.xWhichxofxthexfollowingxinterventionsxshouldxthexnursexincludexinxthexplan?
a.xusexsterilexscissorsxtoxremovexthexdressingxfromxthexsite
b.xirrigatexeachxlumenxweeklyxwithx10xmlxofx0.9%xsodiumxchloridexsolutionxwhenxnotxinxusex
c.xaccessxthexsitexsuingxaxnoncoringxanglexneedle
d.xusexaxsemipermeablextransparentxdepressingxtoxcoverxthexsitex-xans✔✔D
Thexnursexshouldxavoidxthexusexofxscissorsxwhenxperformingxdressingxchangesxbecausext
hisxcanxresultxinxthexaccidentalxcuttingxofxthexcatheter.
Thexnursexshouldxflushxeachxlumenxofxthexcatheterxwithxaxheparinxsolutionxdailyxwhenxnotxi
nxuse.
Thexnursexshouldxusexaxnon-
coringxangledxorxstraightxneedlexwhenxaccessingxanximplantedxport.
Thexnursexshouldxcoverxthexsitexwithxaxsemipermeablextransparentxdressingxtoxreducexthex
riskxofxinfection.
Axnursexisxprovidingxanticipatoryxguidancextoxthexparentxofxaxtoddler.xWhichxofxthexfollowing
xexpectedxbehaviorxcharacteristicsxofxtoddlersxshouldxthexnursexinclude?
, a.xcontrolsximpulsivexfeelings
b.xunderstandsxrightxfromxwrong
c.xeasilyxseparatesxfromxparentsxforxlongxperiodsxofxtime
d.xexpressesxlikesxandxdislikesx-xans✔✔D
Controllingximpulsivexfeelingsxisxexpectedxbehaviorxofxschool-
agexchildren.xToddlerxisxmorexlikelyxtoxhavexdifficultyxcontrollingxstrongxandximpulsivexfeelin
gsxasxtheyxtryxtoxassertxtheirxindependencexandxgainxcontrolxofxsituations.
Understandingxrightxfromxwrongxandxmodifyingxtheirxbehaviorxinxresponsextoxothers'xexpec
tationsxisxthexexpectedxbehaviorxofxpreschoolers.xToddlersxtendxtoxhavexaxgreatxdealxofxcuri
osityxandxaskxmanyxquestionsxbutxarexnotxablextoxfullyxunderstandxwhatxbehaviorsxarexrightx
orxwrong.
Axtoddlerxmightxbexablextoxseparatexfromxtheirxparentsxforxaxshortxperiodxofxtime,xbutxtoddler
sxarexmorexlikelyxtoxexperiencexacutexseparationxanxietyxwhenxseparatedxfromxtheirxparent
sxforxanxextendedxperiodxofxtime.xThextoddlerxmightxofferxresistancexifxtheyxarexleftxwithxaxne
wxbabysitterxorxatxaxnewxdaycarexcenter.
Nursesxshouldxincludexthatxexpressingxlikesxandxdislikesxisxanxexpectedxbehaviorxofxtoddle
rs.xThisxisxthextimexinxlifexwhenxaxtoddlerxisxdevelopingxautonomyxandxself-
concept.xTheyxwillxtryxtoxassertxthemselvesxandxfrequentlyxrefusextoxcomply.xThexparentxsh
ouldxallowxthexchildxtoxhavexsomexcontrol,xbutxalsoxsetxlimitsxforxthemxsoxtheyxlearnxfromxthe
irxbehaviorxandxlearnxtoxcontrolxtheirxactions.
Axnursexisxprovidingxdischargexteachingxtoxthexparentxofxaxschoolxagexchildxwhoxhasxmoder
atexpersistentxasthma.xWhichxofxthexfollowingxinstructionsxshouldxthexnursexinclude?x
a.x"youxshouldxgivexyourxchildxtheirxsalmeterolxinhalerxeveryx4xhoursxwhenxtheyxarexhavingx
anxacutexepisodexofxwheezing."
b.x"youxshouldxmonitorxyourxchild'sxweightxweeklyxwhilextheyxarexreceivingxinhaledxcorticos
teroidsxtherapy."
c.x"pulmonaryxfunctionxtestsxwillxbexperformedxeveryx12-
24xmonthsxtoxevaluatexhowxyourxchildxisxrespondingxtoxtherapy."
d.x"whenxusingxthexpeakxexpiratoryxflowxmeter,xrecordxyourxchild'sxaveragexofxthreexreadin
gs."x-xans✔✔C
"Youxshouldxgivexyourxchildxtheirxsalmeterolxinhalerxeveryx4xhoursxwhenxtheyxarexhavingxan
xacutexepisodexofxwheezing."Thexnursexshouldxinformxthexparentxthatxlong-
actingxbeta2xagonistsxarextoxbexusedxinxconjunctionxwithxaxlow-xorxmedium-
dosagexinhaledxcorticosteroid,xandxneverxusedxalone.xUsingxthisxmedicationxalonexonxanxa
s-
neededxbasisxduringxanxacutexasthmaxattackxisxdangerousxandxcanxleadxtoxworseningxofxth
exchild'sxcondition.
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