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Exam (elaborations)

/PEDS ATI PROCTORED FINAL EXAM TEST BANK 200 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|AGRADE

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/PEDS ATI PROCTORED FINAL EXAM TEST BANK 200 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|AGRADE

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2023-2024/PEDS ATI PROCTORED FINAL EXAM TEST
BANK 200 QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES|AGRADE




The use of plastic shoes increases the occurrence of tinea pedis. The nurse should
instruct the adolescent to avoid wearing plastic shoes.
B- Sandals allow air to circulate around the feet, decreasing perspiration and
eliminating the medium for bacteria and fungus to grow. The nurse should inform
the adolescent that wearing sandals, open-toed, or well-ventilated shoes will
promote healing of his fungal infection.
C- Permethrin 5% cream is a scabicide used to place on the lesions created by
scabies. This treatment is not recommended for tinea pedis.
D- Sealing non-washable items in plastic bags for 14 days is a recommended
practice for clients who have pediculosis. This practice is not recommended for
tineapedis.




Teaching the parents of a school-aged child who has a new diagnosis of
osteomyelitis of the tibia. The nurse should identify that which of the
followingstatements by the parents indicates an understanding of the
teaching?
my child will have a cast until healing is complete.
My child will receive antibiotics for several weeks.
My child can return to playing sports once he is
discharged. My child needs to be in contact
isolation.

Answer: b
The nurse should instruct the parent that the child will receive antibiotic therapy for
at least 4weeks. Surgery might be indicated if the antibiotics are not successful.
A - incorrect
Weight bearing must be avoided with osteomyelitis. Therefore, the child is placed in
comfortable position with the limb supported. There is no indication for a cast.
C- incorrect
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,Weight bearing should be avoided to prevent complications and minimize pain.
Therefore, it will be several weeks to months before the child can play contact
sports.
D- incorrect
Contact isolation is NOT necessary, because osteomyelitis is not a communicable
illness.
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,A nurse is auscultating the lungs of an adolescent who has asthma. The nurse
should identify the sound as which of the following? Click the audio button
tolisten.
A- Biots respiration
B- Chaney Stokes respiration
C- tackypnea
D - Bradypnea

Answer- c
The nurse should identify the sound heard during auscultation as tachypnea, which
is a rapid, regular breathing pattern. This breathing pattern often occurs with
anxiety, fever, metabolic acidosis, or severe anemia.
A- Biot's respirations are periods of apnea alternating with two or three shallow
breaths.
B- Cheyne-Stokes respirations are periods of apnea alternating with periods of
hyperventilation.
D- Bradypnea is a slow, regular breathing pattern.


A nurse in an emergency department is caring for a school-age child who is
experiencing an anaphylactic reaction. Which of the following is the
priorityaction by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's reaction
D- administer IM epinephrine to the

child Answer- d




Page 2 of 27


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, When using the urgent vs no urgent approach to client care, the nurse determinesthat
the priority action is administering IM epinephrine to the child. During an
anaphylactic reaction, histamine release causes bronchoconstriction and
vasodilation. This is an emergency becauseultimately it causes decreased blood
return to the heart.
A- Elevating the head of the child's bed is important to facilitate breathing and
circulation. However, it is not the priority action the nurse should take.
B- Inserting a large bore IV catheter is important to facilitate administration of IV
fluids and 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
preventany additional episodes of anaphylaxis. However, it is not the priority
action the nurse should take.

A nurse at an urgent care clinic is assessing an adolescent client who has an
upper respiratory tract infection. Which of the following findings should the
nurse recognize as a manifestation of pertussis?
A- Inflamed throat with exudate
B- purulent eye drainage
C- dry, hacking cough
D- koplik spots on buccal mucosa

Answer- c
The nurse should recognize that a dry, hacking cough is a manifestation of
pertussis. This disease usually begins with indications of an upper respiratory
tract infection, which includes a dry, hacking cough that is sometimes more
severeat night.

A- An inflamed throat with exudate is a manifestation of acute streptococcal
pharyngitis.
B- Purulent eye drainage is a manifestation of bacterial conjunctivitis.
D- Koplik spots on buccal mucosa are a manifestation of rubeola (measles).

A nurse is providing teaching about car seat use to the mother of a six-month-
old infant. Which of the following statements by the mother indicates an
understanding of the teaching?A- I should secure the car seat using lower
anchors and tethers instead of the seat belt
B- I should position the car seat harness one inch above my baby's shoulders
C- I will make sure that the car seat is placed at a 90-degree angle
D- I will pad my baby's car seat with a blanket for traveling long distances

Answer- a
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