ATI PEDIATRICS PROCTORED EXAM 2019 RETAKE GUIDE REVISED QUESTIONS AND ANSWERS.

ATI PEDIATRICS PROCTORED EXAM 2019 RETAKE GUIDE REVISED QUESTIONS AND ANSWERS. ATI PEDIATRICS PROCTORED EXAM 2019-RETAKE GUIDE Question 1 See full question A physician orders penicillin G, 300,000 units I.M., for an 18-month-old child. Where should the nurse administer this injection? You Selected: • Vastus lateralis muscle Correct response: • Vastus lateralis muscle Explanation: For a child younger than age 3, the thigh (vastus lateralis muscle) is the best site for I.M. injections because it has few major nerves and blood vessels. The deltoid, dorsogluteal, and ventrogluteal sites aren't recommended for a child younger than age 3 because of the lack of muscle development and the risk of nerve injury during injection. Before the dorsogluteal or ventrogluteal sites can be used safely, the child should have been walking for at least 1 year to ensure sufficient muscle development. Question 2 See full question A nurse is caring for a toddler who has just been immunized. When teaching the child's parents about potential adverse effects, the nurse should instruct the parents to immediately report: You Selected: • generalized urticaria. Correct response: • generalized urticaria. Explanation: The nurse should instruct parents to immediately report generalized urticaria because it can herald the onset of a life-threatening episode. A child may experience some pain, redness at the sight, localized swelling, or mild temperature elevation; however, these reactions can be treated symptomatically and aren't life-threatening. Question 3 See full question A 2-year-old always puts his teddy bear at the head of his bed before he goes to sleep. The parents ask the nurse if this behavior is normal. The nurse should explain to the parents that toddlers use ritualistic patterns to: You Selected: • establish sequenced patterns of learning behavior. Correct response: • establish a sense of security. Explanation: Toddlers establish ritualistic patterns to feel secure, despite inconsistencies in their environment. Establishing a sense of identity is the developmental task of the adolescent. The toddler’s developmental task is to use rituals and routines to help in making autonomy easier to accomplish. Ritualistic patterns do involve patterns of behavior, but they are not utilized to develop learning behaviors. Question 4 See full question During assessment of a child with celiac disease, the nurse should most likely note which physical finding? You Selected: • protuberant abdomen Correct response: • protuberant abdomen Explanation: The intestines of a child with celiac disease fill with accumulated undigested food and flatus, causing the characteristic protuberant abdomen. Celiac disease is not usually associated with any liver dysfunction, including poor liver functioning leading to liver enlargement. Tender inguinal lymph nodes are often associated with an infection. Periorbital edema, swelling around the eyes, is associated with nephritis. Question 5 See full question Which family should the nurse determine as most in need of follow-up? You Selected: • a single mother with a 7-month-old child whose immunizations are delayed Correct response: • a single parent with a toddler who has third-degree burns over 20% of the body Explanation: Toddlers receive burns usually as the result of not being closely supervised. Toddlers are very inquisitive and need constant supervision; therefore, close follow-up is necessary. In addition, the child probably will need some type of wound care requiring involvement of the parent and possibly others. The amount of support available to the single parent of the 7-month-old child is not known. Although immunization schedules need to be adhered to, it is very possible for a 7-month-old to be delayed in receiving immunizations because of illness or other conflicts. An automobile accident can happen to anyone and does not indicate a lack of safety or supervision. A history of caustic liquid ingestion in a foster child may have been from a time before the child began living with the foster parents; it does not indicate a lack of safety or supervision. Wow…I looked in the refrigerator twice to find something desirable to eat, but it was nothing there. I knew when I looked back in there it was going to be the same thing that was in there 10 minutes ago; but to my surprise I was surprise with two of my favorite things from Outpost (broccoli salad and vegan chocolate cake). My Sweetie (Fittus…) forever has me on his mind. He is one of a kind! Thank you babe… Love you to pieces I later found this note on the speaker in the bedroom after I devoured the broccoli salad and cake lol Question 1 See full question A child, age 3, is brought to the emergency department in respiratory distress caused by acute epiglottiditis. Which assessment finding is most concerning for the nurse? You Selected: • Severe sore throat, drooling, and inspiratory stridor Correct response: • Severe sore throat, drooling, and inspiratory stridor Explanation: A child with acute epiglottiditis appears acutely ill and clinical manifestations may include drooling (because of difficulty swallowing), severe sore throat, hoarseness, a high temperature, and severe inspiratory stridor. A low-grade fever, stridor, and barking cough that worsens at night are suggestive of croup. Pulmonary congestion, productive cough, and fever along with nasal flaring, retractions, chest pain, dyspnea, decreased breath sounds, and crackles indicate pneumococcal pneumonia. A sore throat, fever, and general malaise point to viral pharyngitis. Question 2 See full question A nurse is caring for a 19-month-old infant with dehydration and weight loss. The infant's mother states that her son doesn't like to eat and that she hates to make him eat. The nurse should: You Selected: • request that a dietitian talk with the parent about infants and nutrition. Correct response: • request that a dietitian talk with the parent about infants and nutrition. Explanation: The infant's mother needs assistance in maintaining her child's diet. Requesting that a dietitian speak with the mother about the child's diet is within the nurse's scope of practice. The nurse shouldn't call the local police or the social worker on duty because there is no evidence of child abuse or neglect. Many infants are picky eaters and choose not to eat or drink. The nurse doesn't need to call the physician to have the infant put in isolation. Isolation isn't indicated for dehydration. Question 3 See full question When assessing a 2-year-old child at the clinic for a routine checkup, which skill should the nurse expect the child to be able to perform? You Selected: • kick a ball forward Correct response: • kick a ball forward Explanation: A 2-year-old child usually can kick a ball forward. Riding a tricycle is characteristic of a 3-year-old child. Tying shoelaces is a behavior to be expected of a 5-year-old child. Using blunt scissors is characteristic of a 3-year-old child. Question 4 See full question The mother of a 2-year-old is concerned because the child's right eye seems to turn in toward his nose when he is tired. The nurse should: You Selected: • Test the child with the cover-uncover test and refer the mother and child to an ophthalmologist if the test is abnormal. Correct response: • Test the child with the cover-uncover test and refer the mother and child to an ophthalmologist if the test is abnormal. Explanation: Strabismus is diagnosed through observation and use of the corneal light reflex test. The cover-uncover test will reveal movement of the affected eye when the unaffected eye is covered, indicating abnormal fixation of the affected eye. The child should be referred to an ophthalmologist as soon as possible so that the correct vision in the affected eye can be restored. It is never normal for one eye to turn inward or outward even if the child is tired. If this condition is not corrected early, blindness can result in the unaffected eye due to the brain suppressing the double vision. Thus, telling the mother to watch the child and call later with concerns is not an appropriate response. The child will not grow out of this type of condition and may need surgery, an eye patch, daily exercises, or a combination of these interventions.