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Practice Question

A nurse is reviewing data for four children. Which of the following children should the nurse assess first?

Answer Choices:

Correct Answer:

A 10-year-old child who has sickle cell anemia who reports severe chest pain

Rationale:

💔 In a child with sickle cell anemia, severe chest pain may indicate acute chest syndrome, a life-threatening complication characterized by pulmonary infiltrates, hypoxia, and infection or infarction of lung tissue.

💔 It can rapidly progress to respiratory failure if not addressed immediately. This condition requires urgent assessment, oxygen, pain control, hydration, and often antibiotics.

💔 While other choices show concerning findings, this child presents the most immediate risk of deterioration.

Want to practice more questions like this?

This question is from RN ATI Paediatrics Final Exam 2 which contains 46 questions.

More Questions from This Exam
A nurse is caring for a newborn whose mother voices concems about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?

Answer Choices:

A. "Sleep apnea is the main cause of SIDS."
B. "SIDS rates have been rising over the last 10 years."
C. "SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines."
D. "Placing your child on her back when sleeping will decrease the risk of SIDS"
A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says, "l don't understand why my child is so upset. I've never seen my child act this way around others before." Which of the following statements should the nurse make?

Answer Choices:

A. "This is a normal, expected reaction for a child of this age:
B. "This is a response to an overstimulating environment."
C. "This is a common reaction to an overexposure to caregivers?
D. "This is a typical reaction for a child who is sick."
A nurse is planning care for a child who has mumps. Which of the following instructions should the nurse include in the plan?

Answer Choices:

A. Initiate standard precautions.
B. Initiate contact precautions.
C. Initiate droplet precautions.
D. Initiate airborne precautions.
From Exam
RN ATI Paediatrics Final Exam 2

46 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Pediatrics
  • Answer Choices: 4
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