ATI PN NURSING CARE OF CHILDREN NGN 2020 EXAM & PRACTICE EXAMS 250 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

ATI PN NURSING CARE OF CHILDREN NGN 2020

EXAM & PRACTICE EXAMS 250 QUESTIONS AND

CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+

A nurse is reinforcing teaching to the guardian of a toddler who is

receiving chemotherapy and has developed stomatitis. Which of the

following instructions should the nurse include in the teaching? -

ANSWER- Frequently rinse the mouth with chlorihexidine mouthwash

NGN

A nurse is assisting with the care or a school age child.

Exhibit 1 - vitals

1230

1330

Exhibit 2- 1240time

Child is restless and crying. Swelling noted at hand joints. Capillary

reill is less than 3 seconds. Mucus membranes adw dry and sticky.

Respirations are regular and unlabeled. Abdomen is soft., flat and

nondistended

Tenderness present with light palpation. Child reports pain as an 8 on a

scale of 0 to 10.

Exhibit 3- diagnostic results

1400 Hgb, HCt, RBC, WBC, Platelet, Reticulocyte

exhibit 4- medical history

Sickle cell anemia - ANSWER- The nurse should plan to first address

______1. Oxygen saturation

Followed by the child's _____2.pain

NGN

A nurse is assisting with the care of a school-age child following an

appendectomy.

Exhibit 1: vitals

Day 0: Temperature 37.1° C (98.8° F) Heart rate 100/min Respiratory

rate 20/min Blood pressure 94/60 mm Hg Oxygen saturation 97% on

room air

Day 1: Temperature 38.6° C (101.5° F) Heart rate 110/min Respiratory

rate 24/min Blood pressure 100/60 mm Hg Oxygen saturation 95% on

room air

Exhibit 2: nurse notes

Day 0: Child is drowsy, but easily roused and responsive to verbal

stimuli. Child rates pain as a 4 on a scale of 0 to 10. Lungs are clear

upon auscultation. Abdomen is soft, flat, and nondistended. Bowel

sounds are hypoactive in all four quadrants. Extremities are warm and

dry to touch. Gauze pads with clear transparent dressings noted on

upper, lower, and left mid-umbilical area.

Day 1: Child is alert and responsive to verbal stimuli. Appears irritable

and restless. Child rates pain as an 8 on a scale of 0 to 10. Respirations

are shallow. No accessory muscle use noted. Lungs are clear upon

auscultation. Abdomen is rigid and distended. Bowel sounds are

hypoactive in all four quadrants. Gauze pads with clear transparent

dressings noted to upper, lower, and left mid-umbilic - ANSWERSelect the 3 findings that the nurse should identify as indications of a

potential complication.

Platelet count

□WBC count

□Abdominal assessment

□Temperature

NGN

A nurse is assisting with the care of an 8-mo th-old-infant

Notes 0515: Infant is admitted with moderate acute

laryngotracheobronchitis (LTB) and decreased fluid intake. Parent

reports it has been more than 12 hr since infant last voided. Infant is

restless, irritable, has a hoarse cry, and is not easily consoled by parent.

Audible inspiratory stridor is evident with a barky-sounding, occasional,

nonproductive cough. Respiratory rate is 78/min with moderate

suprasternal and intercostal retractions and nasal flaring. Oxygen

saturation is 89% on room air. Color of mucous membranes is consistent

with the infant's genetic background. Capillary refill is 2 seconds.

Mucous membranes are slightly dry, and skin turgor is good. IV of

dextrose 5% in 0.45% sodium chloride is infusing at 30 mL/hr.

0530: Infant is receiving 100% cool mist oxygen via blow-by tubing that

the parent is holding. 0600: Oxygen saturation is 92% on 100% cool

mist oxygen via blow-by tubing. Breath sounds are diminished in the

lung bases. Audible inspiratory stridor is louder. Racemic nebulized

epinephrine administered.

0630: Audible inspiratory stridor noted. Infant is sleeping in parent's

arms. Oxygen saturation is - ANSWER- Click to highlight the

information in the Nurses' Notes that indicates the infant's condition is

improving.

0630:

■infant is sleeping in parent's arms

■Oxygen saturation is 96% on 100% cool mist oxygen via blow-by

tubing. .

■Breath sounds are present and equal bilaterally in the lung bases.