Practice Question
A nurse is caring for a child who ingested kerosene. Which of the following assessments is the nurse's priority?
Answer Choices:
Correct Answer:
Respiratory rate
Rationale:
💎 Kerosene is a hydrocarbon, and aspiration can lead to chemical pneumonitis, a life-threatening respiratory complication.
💎 Therefore, the nurse’s priority assessment is respiratory status — rate, effort, breath sounds, and oxygen saturation.
💎 Inducing vomiting or gastric lavage is contraindicated because it increases aspiration risk.
💎 Other findings like mouth burns or bowel sounds are secondary.
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This question is from Custom Peds - Exam 4 which contains 21 questions.
More Questions from This Exam
A nurse is caring for a preschooler who has a partial-thickness burn on her right forearm. Which of the following findings should the nurse expect? (Select all that apply.)
Answer Choices:
A. Wound blanches with pressure
B. Blisters
C. Dry surface
D. Intact epidermis
E. Sensitive to touch
A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room with this child?
Answer Choices:
A. A child who has cystic fibrosis
B. A child who has nephrotic syndrome
C. A child who has rheumatic fever
D. A child recovering from a ruptured appendix
A nurse is assessing an infant following a motor vehicle crash. Which of the following findings should the nurse monitor to identify increased intracranial pressure?
Answer Choices:
A. Depressed fontanels
B. Increased sleeping
C. Brisk pupillary reaction to light
D. Tachycardia
A nurse is assessing an 11-month-old infant. Which of the following manifestations is associated with a CNS infection?
Answer Choices:
A. Negative Brudzinski sign
B. Jaundice
C. Bulging fontanel
D. Oliguria
A nurse is providing teaching to a parent of a preschooler who has eczema. Which of the following instructions should the nurse include in the teaching?
Answer Choices:
A. Dress the child in woolen clothes during cold months.
B. Give the child a bubble baths every day.
C. Launder the child's clothing with fabric softener.
D. Apply a topical corticosteroid ointment to the affected area.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 4