Question

A nurse is caring for a 7-year-old child in the urgent care with complaints of blurred vision. The nurse should complete which of the following as the priority action?

Answer 1

Correct Answers:

Obtain visual acuity

Rationale :

👁️ Visual acuity assessment is the first step to evaluate the severity and nature of the blurred vision.

👁️ It provides baseline data and helps determine if emergency intervention is needed.

👁️ Delaying acuity assessment could lead to missed identification of acute visual issues like trauma or infection.

👁️ Administering drops or cleansing without assessment could worsen an unknown condition.

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Answer 2

Correct Answers:

Weight loss

Rationale :

🍼 Pyloric stenosis leads to projectile vomiting, resulting in dehydration and weight loss.

🍼 It is common in first-born male infants, typically presenting around 2–8 weeks.

🍼 Stools are not jelly-like; that finding is associated with intussusception, not pyloric stenosis.

🍼 Vomiting is frequent and forceful, not occasional.

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Answer 3

Correct Answers:

Otitis Media

Rationale :

👂 Otitis media is common in toddlers and presents with fever, irritability, and ear tugging.

👂 It often follows upper respiratory infections and can cause hearing loss if untreated.

👂 Otitis externa (swimmer’s ear) is usually associated with pain when touching the outer ear.

👂 Viral throat or sinus infections do not typically cause direct ear pain.

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Answer 4

Correct Answers:

"I make sure to offer a variety of foods from different food groups to my toddler each day."

Rationale :

🥗 Toddlers need exposure to diverse textures and nutrients for balanced growth.

🥗 Establishing healthy eating habits early lowers the risk of obesity and deficiencies.

🥗 Limiting dairy or overfeeding juice/sweets can lead to nutritional imbalances.

🥗 Toddlers may be picky, but offering options repeatedly promotes better choices.

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Answer 5

Correct Answers:

Assessing the child's vision

Rationale :

🩹 Pain is a priority with recurrent otitis media due to pressure behind the eardrum.

🩹 Assessing pain guides treatment, such as analgesics or further investigation.

🩹 Vision and lung sounds are unrelated unless other symptoms emerge.

🩹 Blood pressure is not typically affected by ear infections.

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Answer 6

Correct Answers:

Meconium leakage via the vagina or urethra.

Rationale :

🧷 Anorectal malformations often occur with fistulas to the urinary or genital tract.

🧷 Meconium passing through abnormal routes indicates internal structural abnormalities.

🧷 A normal perineum or soft abdomen doesn’t rule out the defect.

🧷 Early identification helps prevent complications like sepsis or bowel perforation.

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Answer 7

Correct Answers:

Isolating the infant to prevent the spread of infection to other infants
Administering bronchodilators to improve respiratory function
Providing frequent small, age-appropriate feedings to prevent dehydration
Administering oxygen to maintain adequate oxygen saturation levels

Rationale :

✨ C. Isolating the infant to prevent the spread of infection to other infants

🔯RSV is highly contagious and spreads easily through direct contact with respiratory secretions or contaminated surfaces.

🔯Isolation precautions, typically contact precautions, are essential to prevent nosocomial transmission to other infants or immunocompromised individuals.

🔯The nurse should use gowns and gloves and ensure hand hygiene is strictly followed before and after care.

🔯Cohorting or private rooms may be necessary depending on unit policy and the number of infected infants.

🔅 D. Administering bronchodilators to improve respiratory function

🔯Bronchodilators (e.g., albuterol) may be used in some cases to help reduce airway resistance and improve ventilation.

🔯Although not routinely recommended for every RSV case, some infants show improvement with trial use—especially those with underlying reactive airway disease.

🔯This intervention helps relieve wheezing or bronchospasm, improving oxygenation and comfort.

🔯Continuous assessment of response to therapy is necessary to determine ongoing need.

💠 E. Providing frequent small, age-appropriate feedings to prevent dehydration

🔯RSV leads to increased respiratory rate and effort, which may reduce feeding tolerance and increase the risk of dehydration.

🔯Small, frequent feeds allow the infant to consume enough fluids without becoming fatigued.

🔯Hydration supports mucociliary clearance, which is essential for clearing thick secretions.

🔯Feeding should be paused if respiratory distress worsens to prevent aspiration.

🔷 F. Administering oxygen to maintain adequate oxygen saturation levels

🔯Hypoxemia is a common complication of RSV due to airway obstruction, mucus plugging, and inflammation.

🔯Supplemental oxygen is indicated if oxygen saturation falls below 90–92%, as per institutional guidelines.

🔯Maintaining adequate oxygenation is crucial to prevent respiratory failure and improve tissue perfusion.

🔯The nurse should monitor oxygen levels continuously and adjust oxygen delivery devices as needed (e.g., nasal cannula).

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Answer 8

Correct Answers:

My child may experience a lower temperature than normal.

Rationale :

🌡️ Acute epiglottitis typically presents with high fever, drooling, and stridor—not low temperature.

🌡️ Ceftriaxone is a common antibiotic used to treat epiglottitis.

🌡️ Difficulty swallowing is a hallmark symptom due to inflammation.

🌡️ Oxygen may be administered to support breathing while airway management is arranged.

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Answer 9

Correct Answers:

Haemophilus influenzae b (Hib)

Rationale :

💉 Hib vaccine is specifically designed to prevent Haemophilus influenzae type b, the most common cause of bacterial epiglottitis in children.

💉 Routine childhood Hib vaccination has dramatically reduced epiglottitis incidence.

💉 Other vaccines (HepB, Polio, MMR) do not protect against Hib.

💉 Education on this vaccine is critical to prevent life-threatening airway obstruction.

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Answer 10

Correct Answers:

Fragile X

Rationale :

🧬 Fragile X syndrome is the most common inherited cause of intellectual disability and often presents with:

Long face

Large ears

Autistic behaviors

🧬 Trisomy 21 involves flat facial profile, not elongated features.

🧬 Turner syndrome affects females, with features like webbed neck and lymphedema.

🧬 Williams syndrome presents with elven features and a friendly personality, not autism.

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RN ATI NSG 234 Paediatrics Exam

No.

1 :
A nurse is caring for a 7-year-old child in the urgent care with complaints of blurred vision. The nurse should complete which of the following as the priority action?

2 :
A nurse is caring for a 6-week-old infant diagnosed with pyloric stenosis. Which of the following clinical manifestations should the nurse expect?

3 :
A nurse is caring for a 3-year-old child with sudden onset of fever, crying and rubbing of the left ear. The nurse should suspect that the child has what type of problem?

4 :
A nurse is reinforcing teaching about nutritional considerations with the parent of a toddler. The nurse should recognize that which statement made by the parent indicates correct information about nutrition?

5 :
A nurse is conducting an assessment of a child with recurrent otitis media. Which of the following assessments should the nurse prioritize?

6 :
A nurse is caring for a female newborn with an apparent anorectal malformation. The nurse should assess the infant for which of the following other potential finding?

7 :
A nurse is caring for an infant with respiratory syncytial virus (RSV). Which of the following are appropriate nursing interventions when prioritizing care for an infant with RSV? (Select All that Apply.)

8 :
A nurse is providing education to the parents of a 4-year-old child with acute epiglottitis. The nurse recognizes that the parents need further teaching when they make which of the following statements?

9 :
The nurse is teaching a group of parents about the benefits of immunizations. The nurse explains that which of the following immunizations are utilized in preventing the life-threatening disease epiglottis?

10 :
A nurse is assessing a 3-year-old child with autistic behaviors, an elongated facial structure, and protrusion of the ears. The nurse suspects that the child may have which of the following syndromes?

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RN ATI NSG 234 Paediatrics Exam

No.

1 : A nurse is caring for a 7-year-old child in the urgent care with complaints of blurred vision. The nurse should complete which of the following as the priority action?

2 : A nurse is caring for a 6-week-old infant diagnosed with pyloric stenosis. Which of the following clinical manifestations should the nurse expect?

3 : A nurse is caring for a 3-year-old child with sudden onset of fever, crying and rubbing of the left ear. The nurse should suspect that the child has what type of problem?

4 : A nurse is reinforcing teaching about nutritional considerations with the parent of a toddler. The nurse should recognize that which statement made by the parent indicates correct information about nutrition?

5 : A nurse is conducting an assessment of a child with recurrent otitis media. Which of the following assessments should the nurse prioritize?

6 : A nurse is caring for a female newborn with an apparent anorectal malformation. The nurse should assess the infant for which of the following other potential finding?

7 : A nurse is caring for an infant with respiratory syncytial virus (RSV). Which of the following are appropriate nursing interventions when prioritizing care for an infant with RSV? (Select All that Apply.)

8 : A nurse is providing education to the parents of a 4-year-old child with acute epiglottitis. The nurse recognizes that the parents need further teaching when they make which of the following statements?

9 : The nurse is teaching a group of parents about the benefits of immunizations. The nurse explains that which of the following immunizations are utilized in preventing the life-threatening disease epiglottis?

10 : A nurse is assessing a 3-year-old child with autistic behaviors, an elongated facial structure, and protrusion of the ears. The nurse suspects that the child may have which of the following syndromes?

1 :
A nurse is caring for a 7-year-old child in the urgent care with complaints of blurred vision. The nurse should complete which of the following as the priority action?

2 :
A nurse is caring for a 6-week-old infant diagnosed with pyloric stenosis. Which of the following clinical manifestations should the nurse expect?

3 :
A nurse is caring for a 3-year-old child with sudden onset of fever, crying and rubbing of the left ear. The nurse should suspect that the child has what type of problem?

4 :
A nurse is reinforcing teaching about nutritional considerations with the parent of a toddler. The nurse should recognize that which statement made by the parent indicates correct information about nutrition?

5 :
A nurse is conducting an assessment of a child with recurrent otitis media. Which of the following assessments should the nurse prioritize?

6 :
A nurse is caring for a female newborn with an apparent anorectal malformation. The nurse should assess the infant for which of the following other potential finding?

7 :
A nurse is caring for an infant with respiratory syncytial virus (RSV). Which of the following are appropriate nursing interventions when prioritizing care for an infant with RSV? (Select All that Apply.)

8 :
A nurse is providing education to the parents of a 4-year-old child with acute epiglottitis. The nurse recognizes that the parents need further teaching when they make which of the following statements?

9 :
The nurse is teaching a group of parents about the benefits of immunizations. The nurse explains that which of the following immunizations are utilized in preventing the life-threatening disease epiglottis?

10 :
A nurse is assessing a 3-year-old child with autistic behaviors, an elongated facial structure, and protrusion of the ears. The nurse suspects that the child may have which of the following syndromes?