PEDS 4 EXAM ATI CHAPTERS
QUESTIONS WITH ACCURATE
ANSWERS.
1. A nurse is caring for a client who has suspected meningitis and a decreased level of consciousness.
Which of the following actions by the nurse is appropriate?
A. Place the client on NPO status.
B. Prepare the client for a liver biopsy.
C. Position the client dorsal recumbent.
D. Put the client in a protective environment. ANSWER : -A
A. Due to the client's decreased level of consciousness, placing the client on NPO status is
an appropriate action by the nurse.
2. A nurse is caring for a 4-month-old infant who has meningitis. Which of the following findings is
associated with this diagnosis?
A. Depressed anterior fontanel
B. Constipation
C. Presence of the rooting reflex
D. High-pitched cry ANSWER : -D
D. A high-pitched cry is a finding associated with meningitis in a 4-month-old infant.
3. A nurse is reviewing cerebrospinal fluid analysis for a client who has suspected meningitis. Which of
the
following results indicate viral meningitis? (Select all that apply.)
A. Negative gram stain
B. Normal glucose content
,C. Cloudy color
D. Decreased WBC count
E. Normal protein content ANSWER : -A B E
A. A negative gram stain indicates viral meningitis.
B. Normal glucose content indicates viral meningitis.
E. Normal protein content indicates viral meningitis.
4. A nurse is developing an in-service about viral and bacterial meningitis. The nurse should include that
the introduction of which of the following immunizations decreased the incidence of bacterial
meningitis
in children? (Select all that apply.)
A. Inactivated polio vaccine (IPV)
B. Pneumococcal conjugate vaccine (PCV)
C. Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP)
D. Haemophilus influenzae type B (Hib) vaccine
E. Trivalent inactivated influenza vaccine (TIV) ANSWER : -B
B. The introduction of the PCV decreased the incidence of bacterial meningitis in
children, as it provides immunity against bacteria that causes the illness.
D.
5. A nurse is caring for a school-age client who possibly has Reye syndrome. Which of the following is a
risk factor for developing Reye syndrome?
A. Recent history of infectious cystitis caused by Candida
B. Recent history of bacterial otitis media
C. Recent episode of gastroenteritis
D. Recent episode of Haemophilus influenzae meningitis ANSWER : -C
, C. A recent episode of gastroenteritis, a viral illness, is a risk factor for Reye syndrome.
Reye syndrome typically follows a viral illness, such as influenza, gastroenteritis, or varicella.
1. A nurse is providing teaching about the management of epistaxis to a child and his family. Which of
the
following positions should the nurse instruct the child to take when experiencing a nosebleed?
A. Sit up and lean forward.
B. Sit up and tilt the head up.
C. Lie in a supine position.
D. Lie in a prone position. ANSWER : -A
A. The nurse should instruct the child to sit up and lean to prevent aspiration when
experiencing a nosebleed.
2. A nurse is providing teaching about epistaxis to the parent of a school-age child. Which of the
following
should the nurse include as an appropriate action to take when managing an episode of epistaxis?
(Select all that apply.)
A. Press the nares together at least 10 min.
B. Breathe through the nose until bleeding stops.
C. Pack cotton or tissue into the naris that is bleeding.
D. Apply a warm cloth across the bridge of the nose.
E. Insert petroleum into the naris after the bleeding stops. ANSWER : -A C E
A. Pressing the nares together for at least 10 min is an appropriate action to take when
managing an episode of epistaxis.
C. Packing cotton or tissue into the naris that is bleeding is an appropriate action when
managing an episode of epistaxis.
QUESTIONS WITH ACCURATE
ANSWERS.
1. A nurse is caring for a client who has suspected meningitis and a decreased level of consciousness.
Which of the following actions by the nurse is appropriate?
A. Place the client on NPO status.
B. Prepare the client for a liver biopsy.
C. Position the client dorsal recumbent.
D. Put the client in a protective environment. ANSWER : -A
A. Due to the client's decreased level of consciousness, placing the client on NPO status is
an appropriate action by the nurse.
2. A nurse is caring for a 4-month-old infant who has meningitis. Which of the following findings is
associated with this diagnosis?
A. Depressed anterior fontanel
B. Constipation
C. Presence of the rooting reflex
D. High-pitched cry ANSWER : -D
D. A high-pitched cry is a finding associated with meningitis in a 4-month-old infant.
3. A nurse is reviewing cerebrospinal fluid analysis for a client who has suspected meningitis. Which of
the
following results indicate viral meningitis? (Select all that apply.)
A. Negative gram stain
B. Normal glucose content
,C. Cloudy color
D. Decreased WBC count
E. Normal protein content ANSWER : -A B E
A. A negative gram stain indicates viral meningitis.
B. Normal glucose content indicates viral meningitis.
E. Normal protein content indicates viral meningitis.
4. A nurse is developing an in-service about viral and bacterial meningitis. The nurse should include that
the introduction of which of the following immunizations decreased the incidence of bacterial
meningitis
in children? (Select all that apply.)
A. Inactivated polio vaccine (IPV)
B. Pneumococcal conjugate vaccine (PCV)
C. Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP)
D. Haemophilus influenzae type B (Hib) vaccine
E. Trivalent inactivated influenza vaccine (TIV) ANSWER : -B
B. The introduction of the PCV decreased the incidence of bacterial meningitis in
children, as it provides immunity against bacteria that causes the illness.
D.
5. A nurse is caring for a school-age client who possibly has Reye syndrome. Which of the following is a
risk factor for developing Reye syndrome?
A. Recent history of infectious cystitis caused by Candida
B. Recent history of bacterial otitis media
C. Recent episode of gastroenteritis
D. Recent episode of Haemophilus influenzae meningitis ANSWER : -C
, C. A recent episode of gastroenteritis, a viral illness, is a risk factor for Reye syndrome.
Reye syndrome typically follows a viral illness, such as influenza, gastroenteritis, or varicella.
1. A nurse is providing teaching about the management of epistaxis to a child and his family. Which of
the
following positions should the nurse instruct the child to take when experiencing a nosebleed?
A. Sit up and lean forward.
B. Sit up and tilt the head up.
C. Lie in a supine position.
D. Lie in a prone position. ANSWER : -A
A. The nurse should instruct the child to sit up and lean to prevent aspiration when
experiencing a nosebleed.
2. A nurse is providing teaching about epistaxis to the parent of a school-age child. Which of the
following
should the nurse include as an appropriate action to take when managing an episode of epistaxis?
(Select all that apply.)
A. Press the nares together at least 10 min.
B. Breathe through the nose until bleeding stops.
C. Pack cotton or tissue into the naris that is bleeding.
D. Apply a warm cloth across the bridge of the nose.
E. Insert petroleum into the naris after the bleeding stops. ANSWER : -A C E
A. Pressing the nares together for at least 10 min is an appropriate action to take when
managing an episode of epistaxis.
C. Packing cotton or tissue into the naris that is bleeding is an appropriate action when
managing an episode of epistaxis.
