2024 NGN ATI PEDS PROCTORED EXAM: COMPREHENSIVE EXAM COVERING PEDIATRIC NURSING CONCEPTS, PRACTICE QUESTIONS, AND TEST -TAKING STRATEGIES WITH 100% CORRECR EXPER T VERIFIED ANSWES FOR GUARANTEED EXAM SUCCESS | GRADED A+ A nurse is teaching a group of guardians about influenza. Which of the following information should the nurse include in the teaching? A. "Amantadine will prevent the illness" B. "Rimantadine is administered intramuscularly" C. "Zanamivir can be given to children 1 year and older" D. "Oseltamivir should be given within 48 hr of onset of manifestations" D. "Oseltamivir should be given within 48 hr of onset of manifestations" RATIONALE : amantadine can SHORTEN length of illness - rimantadine is administered orally 2x/day for 7 days NOT IM - zanamivir is approved for children over the age of 5 A nurse is caring for a child who is in the postoperative period following a tonsillectomy. Which of the following is a clinical finding of postoperative bleeding? A. Hbg 11.6 and Hct 37% B. Inflamed and reddened throat C. Frequent swallowing and clearing of the throat D. Blood -tinged mucus C. Frequent swallowing and clearing of the throat - inflamed and reddened throat + blood -tinged mucus are expected findings following a tonsillectomy A nurse is caring for a child in the postoperative period following a tonsillectomy . Which of the actions should the nurse take? A. Encourage the child to blow her nose gently B. Administer analgesics on a schedule C. Offer orange juice D. Position the child supine B. Administer analgesics on a schedule - blowing nose can increase risk of bleeding - citrus juice (OJ) can cause discomfort and should be avoided post -op - should be positioned on the abdomen or side -lying following a tonsillectomy A nurse is assessing a child who has epiglottis. Which of the following findings should the nu rse expect? (SATA) A. Hoarseness and difficulty speaking B. Difficulty swallowing C. Low -grade fever D. Drooling E. Dry, barking cough F. Stridor A. Hoarseness and difficulty speaking B. Difficulty swallowing D. Drooling F. Stridor - HIGH fever = epiglot tis - Dry, barking cough = croup A nurse is assessing a child who has asthma. Which of the following are indications of deterioration in the child's respiratory status? (SATA) A. Oxygen saturation 95% B. Wheezing C. Retraction of sternal muscles D. Warm e xtremities E. Nasal flaring B. Wheezing C. Retraction of sternal muscles E. Nasal flaring A nurse is teaching an adolescent about the appropriate use of his asthma medication. Which of the following medications should the nurse instruct the client to use a s needed before exercise? A. Fluticasone/salmeterol B. Montelukast C. Prednisone E. Albuterol E. Albuterol (should be administered prior to exercise and is used to provide immediate relief) - fluticasone/salmetrol is a combination of LABA and corticoster oid and used for maintenance control of asthma - montelukast affects immune response to prevent medication and is used for maintenance contorl - prednisone is an anti -inflammatory medication used short -term for exacerbations A nurse is planning care for a child who has asthma. Which of the following interventions should the nurse include in the plan of care? (SATA) A. Perform chest percussion B. Place the child in an upright position C. Monitor oxygen saturation D. Administer bronchodilators E. Administer dornase alfa daily B. Place the child in an upright position C. Monitor oxygen saturation D. Administer bronchodilators - use chest percussion to promote movement of mucus plugs for a child who has cystic fibrosis - administ er dornase alfa to a child who has cystic fibrosis to help w/ removal of respiratory secretions A nurse is teaching a child who has asthma how to use a peak flow meter. Which of the following information should the nurse include in the teaching? (SATA) A. Zero the meter before each use B. Record the average of the attempts C. Perform 3 attempts D. Deliver a long, slow breath into the meter E. Sit in a chair with feet on the floor A. Zero the meter before each use C. Perform 3 attempts - record HIGHEST num ber reading - instruct child to breathe hard and fast - instruct child to stand upright when using a peak flow meter
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