ATI PEDIATRIC PROCTORED EXAM 2019 ACTUAL EXAM 140 QUESTIONS WITH DETAILED VERIFIED ANSWERS AND RATIONALE (100% CORRECT) /A+ GRADE ASSURED

ATI PEDIATRIC PROCTORED EXAM 2019 ACTUAL EXAM 140 QUESTIONS WITH DETAILED VERIFIED ANSWERS AND RATIONALE (100% CORRECT) /A+ GRADE ASSURED A nurse is caring for a school-age child who has experienced a tonic-clonic seizure. Which of the following actions should the nurse take during the immediate postictal period? - ...ANSWER...Place the child in a side-lying position. Rationale: The nurse should place the child in a side-lying position to prevent aspiration. A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Which of the following statements by the parent indicates an understanding of the teaching? - ...ANSWER..."I should keep my child indoors when I mow the yard." Rationale: The nurse should instruct the parent to keep the preschooler indoors during lawn maintenance or when the pollen count is increased. Guarding against exposure to known allergens found outdoors, such as grass, tree, and weed pollen, will decrease the frequency of the preschooler's asthma attacks. A nurse is caring for a preschooler whose father is going home for a few hours while another relative stays with the child. Which of the following statements should the nurse make to explain to the child when their father will return? - ...ANSWER..."Your daddy will be back after you eat." Rationale: Preschoolers make sense of time best when they can associate it with an expected daily routine, such as meals and bedtime. Therefore, the child comprehends time best when it is explained to them in relation to an event they are familiar with, such as eating. A nurse is admitting a school-age child who has Pertussis. Which of the following actions should the nurse take? - ...ANSWER...Initiate droplet precautions for the child. Rationale: The nurse should initiate droplet precautions for a child who has pertussis, also known as whooping cough. Pertussis is transmitted through contact with infected large- droplet nuclei that are suspended in the air when the child coughs, sneezes, or talks. A nurse in an emergency department is caring for a school- age child who has appendicitis and rates their abdominal pain as 7 on a scale of 0 to 10. Which of the following actions should the nurse take? - ...ANSWER...Give morphine 0.05mg/kg IV Rationale: A pain level of 7 on a scale of 0 to 10 is considered severe. The nurse should administer an analgesic medication for pain relief. A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney? - ...ANSWER...Serum creatinine 3.0 mg/dL Rationale: Creatinine is a byproduct of protein metabolism and is excreted from the body through the kidneys. An elevated serum creatinine level, therefore, can be an indication that the kidneys are not functioning. The nurse should identify that the adolescent's serum creatinine level is higher than the expected reference range of 0.4 to 1.0 mg/dL for an adolescent and can indicate rejection of the kidney. A nurse is proving dietary teaching to the parent of a school- age child who has celiac disease. The nurse should recommend that the parent offer which of the following foods to the child? - ...ANSWER...White rice Rationale: The nurse should recommend that the parent offer white rice to the child because it is a gluten-free food. The nurse should instruct the parent that the child will remain on a lifelong gluten-free diet and the child should not consume oats, rye, barley, or wheat, and sometimes lactose deficiency can be secondary to this disease. A nurse is caring for a 15 year-old client who is married and is scheduled for a surgical procedure. The client asks, "who should sign my surgical consent?" Which of the following responses should the nurse make? - ...ANSWER..."You can sign the consent form because you are married." Rationale: The nurse should inform the adolescent that marriage gives adolescents the legal right to consent to surgical procedures and sign other legal documents that they would not otherwise be able to sign due to their age.