ATI PEDIATRIC PROCTORED EXAM 2024|Questions and Answers with Rationales, Graded 100% Correct

ATI PEDIATRIC PROCTORED EXAM 2024|Questions and Answers with Rationales, Graded 100% Correct A nurse is reinforcing teaching with the parents of preschoolers regarding the use of booster seats in a motor vehicle. Which of the following instructions should the nurse include in the teaching? A. Ensure the shoulder-lap portion of the seat belt fits across the child's abdomen when sitting in the booster seat. B. Use a no-back, belt-positioning booster seat if the motor vehicle does not have head rests. C. Discontinue using a booster seat when the child is 135 cm (4 feet 5 in) in height. D. Secure the child in the booster seat using the motor vehicle's shoulder-lap seat belt. D. Secure the child in the booster seat using the motor vehicle's shoulder-lap seat belt. Rationale: The nurse should instruct the parents to secure both the child and the booster seat with the shoulder-lap seat belt inside the motor vehicle, because booster seats do not have built-in straps. The nurse should instruct the parents that the child should continue using a booster seat until she reaches 145 cm (4 feet 8 in) in height. The nurse should instruct the parents to use a no-back, belt-positioning booster seat in a motor vehicle that has head rests. The nurse should instruct the parents that the lap portion of the seat belt should fit across the child's pelvis, not the abdomen. A nurse is contributing to the plan of care for a child who is in Buck's traction. Which interventions should the nurse include in the plan? A. Remove the weights when changing the bed linens. B. Maintain the leg in an extended position. C. Monitor the halo device every 4 hr. D. Provide pin care as prescribed. B. Maintain the leg in an extended position Rationale: The nurse should have the child maintain her affected leg in an extended position while in Buck's traction. This position decreases the risk for further injury to the extremity and minimizes the occurrence of muscle spasms. The nurse should maintain the weights in place to avoid discomfort to the child caused by muscle spasms. The nurse should identify that a halo device is used for a client who requires cervical traction. Buck's traction is used in the treatment of Legg-CalvePerthes disease or other musculoskeletal disorders of the lower extremities. Providing pin care as prescribed is an appropriate nursing intervention for a child who is in skeletal traction. Buck's traction uses skin straps or a special boot for traction. A guardian calls the clinic nurse after his child has developed symptoms of varicella and asks when his child will no longer be contagious. Which of the following responses should the nurse make? A. "When your child no longer has a fever." B. "Three days after the rash started." C. "Six days after lesions appear if they are crusted." D. "When your child's lesions disappear." C. "Six days after lesions appear if they are crusted." Rationale: The nurse should inform the guardian that a child will stop being contagious around 6 days after the lesions appeared, as long as they are crusted over. The lesions associated with varicella can take varying times to completely resolve. However, a child stops being contagious when the lesions have crusted over and are no longer draining. The rash associated with varicella progresses through several stages, over a period of days, from macule to vesicle. However, a child can still be contagious 3 days after the rash started. The fever associated with varicella develops prodromally about 24 hr before the rash appears. The length of fever varies and is not an indicator of contagiousness. However, the child can still be contagious without a fever. A nurse is caring for a toddler who has otitis media and a temperature of 102.4 F. Which of the following actions should the nurse take first? A. Administer an antipyretic. B. Reduce the room temperature. C. Dress the child in minimal clothing. D. Apply cool compresses to the child's forehead. A. Administer an antipyretic Rationale: When using the urgent vs. nonurgent approach to client care, the nurse should first administer an antipyretic to decrease the toddler's body temperature. Reducing the room temperature is an effective method of reducing the toddler's temperature when implemented approximately 1 hr after administration of an antipyretic. Therefore, this is not the first action the nurse should take. Dressing the child in minimal clothing is an effective method of reducing the toddler's temperature when implemented approximately 1 hr after administration of an antipyretic. Therefore, this is not the first action the nurse should take. Applying cool compresses to the toddler's forehead is an effective method of reducing the toddler's temperature when implemented approximately 1 hr after administration of an antipyretic. Therefore, this is not the first action the nurse should take A nurse is caring for an adolescent who has acne and a new prescription for isotretinoin. For which of the following adverse effects should the nurse monitor? A. Hypersalivation B. Depression C. Bradycardia D. Hyperreflexia B. Depression Rationale: Clients taking isotretinoin can experience mental status changes, such as suicidal thoughts, aggression, emotional lability, and depression. The nurse should monitor the adolescent's mental status while taking isotretinoin. Clients taking isotretinoin can experience adverse effects affecting the oral cavity, such as gingivitis and xerostomia. The nurse should monitor the adolescent for dry mouth while taking isotretinoin. Clients taking isotretinoin can experience cardiovascular adverse effects, such as chest pain, palpitations, and tachycardia. Clients taking isotretinoin can experience musculoskeletal adverse effects, such as pain in the muscles and joints, tendonitis, and muscle weakness. A nurse is contributing to the plan of care for a 10-month-old infant who is postoperative following a cleft palate repair. Which of the following actions should the nurse include in the plan of care?