ATI Nursing Proctored Pediatric Test Banks

ATI Nursing Proctored Pediatric Test Banks Related

Review ATI Nursing Proctored Pediatric Test Banks related questions and content

Which of the ff. nursing diagnoses is the focus of care for a patient with hypertension?

  • A. Activity intolerance
  • B. Impaired physical mobility
  • C. Ineffective airway clearance
  • D. Deficient knowledge
Correct Answer: D

Rationale: Hypertension, also known as high blood pressure, is a condition where the force of blood against the artery walls is consistently too high. Education about the condition, its causes, treatment, lifestyle modifications, and potential complications is crucial in managing hypertension effectively. Patients with hypertension often need to make significant changes to their diet, exercise routine, and overall lifestyle to control their blood pressure. Therefore, addressing Deficient knowledge nursing diagnosis is essential in providing patient education and empowering the individual to take control of their health. Focusing on improving the patient's understanding of hypertension can lead to better adherence to treatment plans and ultimately better blood pressure control.

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A 3-year-old female is hospitalized for a femur fracture. As her nurse, what nursing action would help foster the child's sense of autonomy?

  • A. Allow the child to choose what time to take her oral antibiotics.
  • B. Allow the child to have a doll for medical play.
  • C. Allow the child to administer her own dose of Keflex (cephalexin) via oral syringe.
  • D. Allow the child to watch age-appropriate videos.
Correct Answer: B

Rationale: Allowing preschoolers to participate in actions for which they are capable is an excellent way to enhance their sense of autonomy.

Failure to thrive (FTT) is a descriptive term given to malnourished infants and young children who fail to meet expected standards of growth. Of the following, the growth parameter that is usually not affected by malnutrition is

  • A. weight
  • B. height
  • C. weight for height ratio
  • D. head circumference
Correct Answer: D

Rationale: Head circumference is less likely to be affected by short-term malnutrition because brain growth is prioritized during infancy and early childhood.

Which of the following is an intraoperative outcome for a patient undergoing an inguinal hernia repair?

  • A. Verbalizes fears
  • B. Demonstrates leg exercises
  • C. Maintains skin integrity
  • D. Explains deep breathing exercises
Correct Answer: C

Rationale: Intraoperative outcomes refer to the immediate goals and conditions that are assessed during a surgical procedure. Maintaining skin integrity is a crucial intraoperative outcome for a patient undergoing an inguinal hernia repair surgery. This outcome focuses on ensuring that the patient's skin remains intact, without any damage or breakdown during the surgical procedure. It involves proper positioning of the patient, adequate support to vulnerable areas, and meticulous monitoring of the skin throughout the surgery to prevent any pressure injuries or skin trauma. Other outcomes listed, such as verbalizing fears, demonstrating leg exercises, and explaining breathing exercises, are more pertinent to preoperative or postoperative care rather than intraoperative outcomes.

The clue to need a help for a child who does not respond correctly to 'Give me' or 'Sit down' or 'Come here' when spoken without gestural cues is by age of

  • A. 15 months
  • B. 18 months
  • C. 21 months
  • D. 24 months
Correct Answer: D

Rationale: By 24 months, a child should be able to follow simple commands without gestures.

A nurse is assessing a child with an unrepaired ventricular septal defect. Which heart sound does the nurse expect to assess?

  • A. Palpitations
  • B. Wheeze
  • C. Murmur
  • D. Physiologic splitting
Correct Answer: C

Rationale: A ventricular septal defect (VSD) is a congenital heart defect characterized by a hole in the septum that separates the heart's two lower chambers (ventricles). When assessing a child with an unrepaired VSD, the nurse would expect to hear a murmur. The murmur is typically described as a harsh, holosystolic (pansystolic) murmur, best heard at the left lower sternal border. This murmur occurs due to the turbulent blood flow across the defect during systole. It is important for the nurse to recognize this characteristic murmur associated with a VSD to facilitate appropriate management and follow-up care for the child.

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