Practice Question
A nurse is caring for an infant who weighs 7.8 kg (17.2 lb) and was admitted yesterday for treatment of moderate dehydration. Which of the following findings indicates to the nurse that the infant's condition is improving?
Answer Choices:
Correct Answer:
Fontanel is level and soft.
Rationale:
🔷A soft, level anterior fontanel reflects adequate hydration and improved intravascular volume in infants.
🔷 With rehydration, interstitial fluid and cerebral perfusion normalize, reversing the sunken fontanel seen in dehydration.
🔷 This finding aligns with improving skin turgor, urine output, and capillary refill, markers of volume status.
🔷 It also indicates better cerebral perfusion pressure, reducing risk for irritability or lethargy related to fluid deficit.
🔷 Nurses reassess fontanel, mucous membranes, and wet diapers to confirm sustained rehydration.
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This question is from RN Pediatric Nursing 2023 Exam D which contains 69 questions.
More Questions from This Exam
A nurse is assessing an adolescent who has Cushing's syndrome. Which of the following findings should the nurse expect?
Answer Choices:
A. Hyperglycemia
B. Hyperkalemia
C. Skin thickening
D. Advanced bone age
A charge nurse is planning care for an infant who has failure to thrive. Which of the following actions should the nurse include in the plan of care?
Answer Choices:
A. Assign consistent nursing staff to care for the infant.
B. Give the infant fruit juice between feedings.
C. Keep the infant in a visually stimulating environment.
D. Use half-strength formula when feeding the infant.
A nurse is planning care for a toddler who has a new prescription for enteral feedings via a nasojejunal tube. Which of the following interventions should the nurse plan to include?
Answer Choices:
A. Administer bolus feedings dally.
B. Infuse feedings using a mechanical pump.
C. Replace the tube every 2 months.
D. Flush the tube every 8 hr.
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
Answer Choices:
A. Restrict the child's strenuous activities for 3 days.
B. Examine the child for skin irritation at the cast edges.
C. Use a hair dryer on cool setting to relieve Itching.
D. Monitor for pallor or swelling in the child's affected hand.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 4