Question

A nurse is caring for a child who has pertussis. The child's parent asks the nurse what the common name for this disease is. The nurse should respond with which of the following common names?

Answer 1

Correct Answers:

Whooping cough

Rationale :

🔎 Pertussis is the clinical name for whooping cough, a bacterial infection caused by Bordetella pertussis.

🔎 The hallmark symptom is severe, spasmodic coughing ending with a loud "whooping" sound.

🔎 It primarily affects infants and young children but is preventable with the DTaP vaccine.

🔎 Prompt antibiotic treatment can reduce spread and severity.

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Answer 2

Correct Answers:

Use good handwashing

Rationale :

🧼 Immunosuppressed children are highly vulnerable to infections, including common bacteria and viruses.

🧼 Good hand hygiene is the first and most effective line of defense in preventing the spread of infection.

🧼 Everyone who comes into contact with the child—including family members, staff, and visitors—must use strict handwashing protocols.

🧼 This measure is evidence-based, endorsed by CDC guidelines, and critical in protecting immunocompromised populations.

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Answer 3

Correct Answers:

Low-sodium, fluid-restricted

Rationale :

💧 Acute glomerulonephritis causes renal inflammation, reducing the kidneys’ ability to excrete sodium and water, leading to fluid retention, edema, and hypertension.

💧 A low-sodium diet helps reduce water retention, and fluid restriction prevents volume overload when urine output is low.

💧 This management supports cardiovascular stability and decreases the workload on the kidneys.

💧 Monitoring weight, blood pressure, and intake/output is essential in conjunction with dietary interventions.

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Answer 4

Correct Answers:

Tugging on the affected ear lobe

Rationale :

👶 Otitis media (middle ear infection) often presents with pain, irritability, and fever, especially in toddlers and infants.

👶 Children may pull or tug at their ear in response to discomfort, especially if they are too young to verbalize the pain.

👶 Other associated symptoms may include sleep disturbances, poor feeding, and temporary hearing loss.

👶 Diagnosis is confirmed by otoscopic examination, revealing a bulging, red tympanic membrane.

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Answer 5

Correct Answers:

Meningococcal polysaccharide vaccine

Rationale :

🏫 Adolescents preparing to enter college are advised to receive the meningococcal vaccine, as close living quarters (e.g., dormitories) increase the risk of meningitis outbreaks.

🏫 The vaccine protects against Neisseria meningitidis, a potentially fatal infection that can cause meningitis and sepsis.

🏫 The CDC recommends a first dose at 11–12 years and a booster at 16 years, aligning with pre-college assessments.

🏫 This vaccine is often required for college admission in many institutions.

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Answer 6

Correct Answers:

1 cup ready-to eat cereal flakes

Rationale :

🥣 According to USDA guidelines, 1 cup of cereal flakes equals 1 oz-equivalent of grains.

🥣 Understanding grain equivalents helps caregivers provide balanced daily nutrition—preschoolers need about 3–5 oz of grains/day.

🥣 Offering a variety of grains supports energy needs, digestive health (fiber), and satiety.

🥣 Visual cues (like cereal or bread slices) simplify dietary education for families.

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Answer 7

Correct Answers:

Provide a latex-free environment.

Rationale :

🎈 Children with spina bifida are at a higher risk for latex allergies, possibly due to repeated exposure to latex-containing medical supplies.

🎈 Allergic reactions can range from contact dermatitis to anaphylaxis, making prevention vital.

🎈 Providing a latex-free environment (gloves, equipment, catheters) is standard care.

🎈 Education should also be provided to the family about maintaining a latex-free home environment.

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Answer 8

Correct Answers:

Obtain an influenza vaccine annually

Rationale :

💉 People with type 1 diabetes have an increased risk of serious complications from infections like influenza due to impaired immune responses and poor glycemic control during illness.

💉 Annual flu vaccination is recommended by the CDC for all diabetic patients to prevent hospitalizations.

💉 This is part of comprehensive chronic disease management and preventive care.

💉 It helps reduce the impact of seasonal illness on metabolic stability.

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Answer 9

Correct Answers:

Pain

Rationale :

🔥 Pain is the most common and significant symptom of a sickle cell crisis, especially a vaso-occlusive crisis, where misshapen RBCs obstruct blood flow.

🔥 Pain may be localized in the limbs, back, chest, or abdomen, and often requires opioid analgesics for relief.

🔥 Effective pain control is critical in managing quality of life and preventing complications.

🔥 The nurse should also monitor hydration, oxygenation, and signs of infection.

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Answer 10

Correct Answers:

Apex of the heart

Rationale :

🩺 For infants and children under 2 years, the apical pulse is the most accurate site for assessing heart rate.

🩺 It is located at the 4th intercostal space, left midclavicular line, and must be auscultated for a full minute.

🩺 Radial pulses are too weak and unreliable in infants due to small vessel size.

🩺 Apical auscultation helps detect rate, rhythm, and abnormalities such as murmurs.

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RN ATI Pediatric Exam III

No.

1 :
A nurse is caring for a child who has pertussis. The child's parent asks the nurse what the common name for this disease is. The nurse should respond with which of the following common names?

2 :
Nursing care of a child who is immunosuppressed due to leukemia or chemotherapeutic agents should include: (choose one best answer)

3 :
A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35mL of urine per hour. The nurse should place the client on which of the following diets?

4 :
A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?

5 :
A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?

6 :
A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. Which of the following foods should the nurse recommend?

7 :
A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following interventions should the nurse include in the plan of care?

8 :
A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching?

9 :
A nurse is assessing a child who is in a sickle cell crisis. Which of the following findings should the nurse expect?

10 :
A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?

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RN ATI Pediatric Exam III

No.

1 : A nurse is caring for a child who has pertussis. The child's parent asks the nurse what the common name for this disease is. The nurse should respond with which of the following common names?

2 : Nursing care of a child who is immunosuppressed due to leukemia or chemotherapeutic agents should include: (choose one best answer)

3 : A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35mL of urine per hour. The nurse should place the client on which of the following diets?

4 : A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?

5 : A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?

6 : A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. Which of the following foods should the nurse recommend?

7 : A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following interventions should the nurse include in the plan of care?

8 : A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching?

9 : A nurse is assessing a child who is in a sickle cell crisis. Which of the following findings should the nurse expect?

10 : A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?

1 :
A nurse is caring for a child who has pertussis. The child's parent asks the nurse what the common name for this disease is. The nurse should respond with which of the following common names?

2 :
Nursing care of a child who is immunosuppressed due to leukemia or chemotherapeutic agents should include: (choose one best answer)

3 :
A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35mL of urine per hour. The nurse should place the client on which of the following diets?

4 :
A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?

5 :
A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?

6 :
A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. Which of the following foods should the nurse recommend?

7 :
A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following interventions should the nurse include in the plan of care?

8 :
A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching?

9 :
A nurse is assessing a child who is in a sickle cell crisis. Which of the following findings should the nurse expect?

10 :
A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?