Question

A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?

Answer 1

Correct Answers:

Perceives death as a punishment

Rationale :

🖍️ Preschoolers are in a developmental stage where they use magical thinking and often believe that death is reversible or temporary.

🖍️ They commonly interpret events based on egocentric views, leading them to believe death is a punishment for bad behavior.

🖍️ Concepts such as permanence or universality of death are typically not developed until school age.

🖍️ Therapeutic communication with preschoolers should acknowledge their fears and correct misconceptions gently.

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Answer 2

Correct Answers:

Minimize physical contact with the child.

Rationale :

📘 Children with autism spectrum disorder may have sensory sensitivities, including tactile defensiveness.

📘 Minimizing unnecessary touch reduces anxiety and overstimulation during hospitalization.

📘 Other techniques include using a calm voice, offering choices, and using visual aids.

📘 Preserving a familiar and low-stimulus environment is key to reducing behavioral disruptions.

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Answer 3

Correct Answers:

Rhinorrhea

Rationale :

🖊️ RSV typically presents with upper respiratory symptoms, especially in the early stages.

🖊️ Rhinorrhea, or a runny nose, is one of the first signs before progressing to wheezing or respiratory distress.

🖊️ Clubbing and barrel chest are chronic signs, more common in diseases like cystic fibrosis.

🖊️ Vesicles are not seen in RSV; they are more consistent with viral exanthems like varicella.

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Answer 4

Correct Answers:

Increased pulse

Rationale :

📗 In dehydration, the body compensates for low fluid volume by increasing heart rate to maintain perfusion.

📗 Other signs include dry mucous membranes, sunken eyes, poor skin turgor, and delayed capillary refill.

📗 A flat fontanel is normal in well-hydrated infants; a sunken fontanel would signal dehydration.

📗 Blood pressure may be normal early on, but with worsening dehydration, it can drop significantly.

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Answer 5

Correct Answers:

Hot spot on the cast

Rationale :

✏️ A localized hot spot on a cast can indicate underlying infection, such as osteomyelitis or skin breakdown.

✏️ This finding warrants immediate reporting and evaluation to prevent complications.

✏️ While itching and pain are expected, heat localized to one area is an abnormal and urgent finding.

✏️ In cast care, the nurse should also assess for odor, drainage, or swelling as signs of infection.

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Answer 6

Correct Answers:

"This test checks my blood sugar over the last few months.”

Rationale :

🔹 HbA1c reflects the average blood glucose levels over 2–3 months, making it ideal for long-term diabetes monitoring.

🔹 It measures the percentage of glycated hemoglobin, not the amount of oxygen or total hemoglobin.

🔹 This test helps providers assess how well the diabetes is controlled over time, regardless of daily variations.

🔹 It does not check for ketones, which are tested through urine or blood during acute illness.

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Answer 7

Correct Answers:

Eggs

Rationale :

📘 The influenza vaccine is commonly produced using egg-based technology, and severe egg allergy (anaphylaxis) is a contraindication.

📘 Clients with mild egg sensitivity may still receive the vaccine under medical supervision, depending on current CDC guidelines.

📘 Allergies to neomycin or gelatin relate to other vaccines (e.g., MMR, varicella), not the flu shot.

📘 Gluten is not a component of vaccines and is not a contraindication.

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Answer 8

Correct Answers:

Place the child in prone position to expose the posterior iliac crest.

Rationale :

🖍️ The posterior iliac crest is the most common and safest site for bone marrow aspiration in children.

🖍️ The prone position provides optimal access and stability for the procedure.

🖍️ Other positions like side-lying or frog-leg are not effective for exposing this landmark.

🖍️ Proper positioning also helps minimize movement and discomfort during the collection.

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Answer 9

Correct Answers:

"I should provide my child with rice pudding for dessert."

Rationale :

📙 Children with celiac disease must avoid gluten, found in wheat, rye, and barley.

📙 Rice is a safe, gluten-free grain, making rice pudding an appropriate option.

📙 Chocolate malt and barley cereals contain malt and gluten, which would trigger an immune reaction.

📙 Rye bread is also contraindicated as it contains gluten.

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Answer 10

Correct Answers:

Human papillomavirus

Rationale :

📗 At age 11–12, the HPV vaccine is recommended to protect against human papillomavirus, which can lead to cervical and other cancers.

📗 Vaccines like Hib, rotavirus, and hepatitis A are given earlier in childhood and are typically completed before this age.

📗 The HPV series is given before potential exposure to the virus, making early adolescence the ideal window.

📗 HPV vaccination is part of the routine adolescent immunization schedule.

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ATI PN Pediatric Nursing~2023

No.

1 :
A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?

2 :
A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?

3 :
A nurse is collecting data from an infant who has respiratory syncytial virus (RSV). Which of the following findings should the nurse expect?

4 :
A nurse is caring for a toddler who has been vomiting for the past 8 hr. Which of the following findings indicates to the nurse that the child is dehydrated?

5 :
A nurse is reinforcing teaching with the parent of a preschooler who has a hip fracture and is in a spica cast. Which of the following findings should the nurse identify as an indication of infection?

6 :
A nurse is reinforcing teaching about the purpose of the HbA1c test with an adolescent who has type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?

7 :
A nurse is discussing allergies with the guardians of a school-age child prior to administration of the influenza vaccine. The nurse should identify that a prior anaphylactic reaction to which of the following is a contraindication to this immunization?

8 :
A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?

9 :
A nurse is reinforcing teaching about food choices with a parent of a child who has celiac disease. Which of the following responses by the parent indicates an understanding of the teaching?

10 :
A nurse is preparing to administer recommended immunizations to an 11-year-old child who is up-to-date with current immunizations. Which of the following immunizations should the nurse plan to administer?

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ATI PN Pediatric Nursing~2023

No.

1 : A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?

2 : A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?

3 : A nurse is collecting data from an infant who has respiratory syncytial virus (RSV). Which of the following findings should the nurse expect?

4 : A nurse is caring for a toddler who has been vomiting for the past 8 hr. Which of the following findings indicates to the nurse that the child is dehydrated?

5 : A nurse is reinforcing teaching with the parent of a preschooler who has a hip fracture and is in a spica cast. Which of the following findings should the nurse identify as an indication of infection?

6 : A nurse is reinforcing teaching about the purpose of the HbA1c test with an adolescent who has type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?

7 : A nurse is discussing allergies with the guardians of a school-age child prior to administration of the influenza vaccine. The nurse should identify that a prior anaphylactic reaction to which of the following is a contraindication to this immunization?

8 : A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?

9 : A nurse is reinforcing teaching about food choices with a parent of a child who has celiac disease. Which of the following responses by the parent indicates an understanding of the teaching?

10 : A nurse is preparing to administer recommended immunizations to an 11-year-old child who is up-to-date with current immunizations. Which of the following immunizations should the nurse plan to administer?

1 :
A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?

2 :
A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?

3 :
A nurse is collecting data from an infant who has respiratory syncytial virus (RSV). Which of the following findings should the nurse expect?

4 :
A nurse is caring for a toddler who has been vomiting for the past 8 hr. Which of the following findings indicates to the nurse that the child is dehydrated?

5 :
A nurse is reinforcing teaching with the parent of a preschooler who has a hip fracture and is in a spica cast. Which of the following findings should the nurse identify as an indication of infection?

6 :
A nurse is reinforcing teaching about the purpose of the HbA1c test with an adolescent who has type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?

7 :
A nurse is discussing allergies with the guardians of a school-age child prior to administration of the influenza vaccine. The nurse should identify that a prior anaphylactic reaction to which of the following is a contraindication to this immunization?

8 :
A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?

9 :
A nurse is reinforcing teaching about food choices with a parent of a child who has celiac disease. Which of the following responses by the parent indicates an understanding of the teaching?

10 :
A nurse is preparing to administer recommended immunizations to an 11-year-old child who is up-to-date with current immunizations. Which of the following immunizations should the nurse plan to administer?