ATI NGN RN Nursing Care of Children Proctored Exam 2023/2024 Questions & Answers GRADED A

ATI NGN RN Nursing Care of Children Proctored Exam 2023/2024 Questions & Answers GRADED A Teachingtheparents ofaschool-agedchild whohasanew diagnosis of osteomyelitis of thetibia. The nurse should identify that which of the following statements by the parents indicates an understanding of the teaching? mychild willhave acastuntilhealing iscomplete. Mychild willreceive antibiotics forseveral weeks. Mychildcanreturntoplayingsportsonceheisdischarged. My child needs to be in contact isolation. Answer:b The nurseshouldinstruct theparent that thechild willreceive antibiotic therapyforat least4 weeks. Surgery might be indicated if the antibiotics are not successful. A - incorrect Weightbearing mustbeavoided withosteomyelitis. Therefore, thechildis placedina comfortable position with the limb supported. There is no indication for a cast. C- incorrect Weightbearingshouldbeavoidedtopreventcomplicationsand minimizepain. Therefore, it will be several weeks to months before the child can play contact sports. D- incorrect Contact isolationis NOTnecessary,becauseosteomyelitis isnotacommunicableillness. A nurse isauscultating the lungs ofan adolescent who has asthma. The nurse should identifythe sound as which of the following? Click the audio button to listen. A- Biots respiration B- Chaney Stokesrespiration C- tackypnea D - Bradypnea Answer- c The nurseshouldidentify thesoundheardduringauscultationas tachypnea, whichisa rapid, regular breathing pattern. This breathing pattern often occurs with anxiety, fever, metabolic acidosis, or severe anemia. A- Biot's respirations areperiods ofapneaalternating withtwoor three shallow breaths. B- Cheyne-Stokesrespirationsareperiodsofapneaalternating withperiodsof hyperventilation. D- Bradypneaisaslow,regularbreathingpattern. A nurse in an emergency department iscaring foraschool-age child who is experiencing an anaphylactic reaction. Which of the following is the priorityaction by the nurse? A- Elevate theheadof thechild's bed Page 2 of 28 B- insertalarge-boreIVcatheter for thechild C- determinetheallergenthatcausedthechild's reaction D- administer IM epinephrinetothechild Answer- d Page 3 of 28 When using the urgent vs nonurgent approach to client care, the nurse determines that the priority action is administering IM epinephrine to the child. During an anaphylactic reaction, histaminereleasecausesbronchoconstrictionand vasodilation. This isanemergencybecause ultimately it causes decreased blood return to the heart. A-Elevatingtheheadof thechild'sbedis important tofacilitatebreathingandcirculation. However, it is not the priority action the nurse should take. B- InsertingalargeboreIVcatheter is important tofacilitateadministrationof IVfluidsand medications. However, it is not the priority action the nurse should take. C- Determining the allergen that caused the child's reaction is important to prevent any additional episodesofanaphylaxis. However, it isnot thepriorityactionthenurseshouldtake. The nurse is preparing to administeran immunization to a four-year-old child. Which of the following actions should the nurse plan to take? A- Place thechild inapronepositionfor the immunization B- request that thechild's caregiver leave theroom duringthe immunization C- administer the immunization using a 24 gauge needle D- inject theimmunizationslowlyafteraspiratingfor 3 seconds Answer -c The nurseshouldadministeranimmunizationfora4-year-oldchildusinga24-gaugeneedleto minimize the amount of pain experienced by the toddler. A- Thenurseshouldplacethechildinanuprightsittingpositionfor theimmunization because this decreases the child's fear and anxiety. B- Thenurseshouldallow thecaregiver tostaynear thechild duringtheimmunizationto provide a sense of security and reduce the child's anxiety level. D- The nurse should inject the immunization rapidly and avoid aspiration. These actions decrease the risk of needle displacement and lower the child's fear and anxiety level by decreasing the amount of time it takes to administer the immunization