ATI Pediatric Medications Test

ATI Pediatric Medications Test Related

Review ATI Pediatric Medications Test related questions and content

The mother of an 11-year-old girl confides to the nurse that her child has no interest in school activities, exercise, or even family outings. The most appropriate response by the nurse would be:

  • A. I would recommend that she see a counselor at school.
  • B. I would not worry; she will grow out of it.
  • C. Many girls this age go through a time of malaise and disinterest.
  • D. If she still feels the same way when you come back for the next well-child visit, I will recommend a therapist.
Correct Answer: A

Rationale: When a child shows a lack of interest in various activities, including school, exercise, and family outings, it is essential to address the underlying reasons. Recommending that the child see a counselor at school is crucial to explore potential issues and provide appropriate support and guidance. This approach can help identify any emotional, social, or behavioral concerns the child may be experiencing and facilitate early intervention and support. Choice B is incorrect because dismissing the mother's concerns and assuming the child will grow out of it without addressing the issue is not appropriate. Choice C is incorrect because while some children may go through phases of disinterest, it is essential to investigate further rather than generalizing. Choice D is incorrect because waiting until the next visit without taking proactive steps to address the current lack of interest may delay necessary support and intervention.

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When does the rash in typhoid fever typically appear?

  • A. On the second day after symptoms appear
  • B. On the third day after symptoms appear
  • C. On the fourth day after symptoms appear
  • D. On the seventh day after symptoms appear
Correct Answer: B

Rationale: In typhoid fever, the rash typically appears on the third day after symptoms first appear. This rash can help in diagnosing the disease along with other symptoms such as fever, malaise, and abdominal pain. Choices A, C, and D are incorrect because the rash in typhoid fever usually appears on the third day, not the second, fourth, or seventh day after the symptoms begin.

A child was brought to the emergency department with complaints of nausea, vomiting, and fruity-scented breath. The resident on duty diagnosed the child with diabetic ketoacidosis. Which of the following should the nurse expect to administer?

  • A. Potassium chloride IV infusion.
  • B. Dextrose 5% IV infusion.
  • C. Ringer's Lactate.
  • D. Normal saline IV infusion
Correct Answer: D

Rationale: In diabetic ketoacidosis (DKA), there is a state of dehydration and electrolyte imbalance. Normal saline is the initial fluid of choice to help restore intravascular volume and improve electrolyte balance. It also helps to correct acidosis. Potassium chloride IV infusion is commonly added to the treatment regimen once kidney function is confirmed to prevent hypokalemia. Dextrose 5% IV infusion is not the first-line treatment for DKA as it can worsen hyperglycemia. Ringer's Lactate is not typically used as the initial fluid for managing DKA as it contains potassium and could worsen hyperkalemia.

In public education on Typhoid fever, the condition mainly spreads through:

  • A. Contaminated air
  • B. Mineral water
  • C. Contaminated food and water
  • D. All of the above
Correct Answer: C

Rationale: Typhoid fever is primarily spread through contaminated food and water, usually due to poor sanitation practices. The bacteria responsible for typhoid fever, Salmonella Typhi, is typically found in food or water contaminated by the feces of an infected person. Contaminated air is not a significant mode of transmission for typhoid fever, making choice A incorrect. While waterborne transmission can occur, it is through contaminated water rather than specifically mineral water, making choice B incorrect. Therefore, the correct answer is C, as contaminated food and water are the main sources of transmission for typhoid fever.

What is the pattern of fever in enteric fever?

  • A. Intermittent fever
  • B. Relapsing fever
  • C. Pel-Ebstein fever
  • D. Continuous fever
Correct Answer: D

Rationale: Enteric fever, caused by Salmonella typhi or paratyphi, is characterized by a continuous fever pattern. The fever typically persists without significant fluctuations, distinguishing it from diseases with intermittent or relapsing fever patterns. Pel-Ebstein fever, a cyclic pattern of fever seen in Hodgkin's lymphoma, is not associated with enteric fever. Relapsing fever is a characteristic of diseases like Borrelia recurrentis infection. Intermittent fever is seen in conditions like malaria.

After providing home care instructions to the mother of a child being discharged following cardiac surgery, which statement made by the mother indicates a need for further instructions?

  • A. A balance of rest and exercise is important.
  • B. I can apply lotion or powder to the incision if it is itchy.
  • C. Activities in which falling could occur need to be avoided for two to four weeks.
  • D. Large crowds of people need to be avoided for at least two weeks after the surgery.
Correct Answer: B

Rationale: The correct answer is B. The mother stating that she can apply lotion or powder to the incision if it is itchy indicates a need for further instructions. Applying lotion or powder to the incision is not recommended as it can increase the risk of infection. The other choices are correct: A) Balancing rest and exercise is important for recovery, C) avoiding activities where falling could occur is necessary to prevent injury, and D) avoiding large crowds helps reduce the risk of infections during the initial recovery period.

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