ATI Pediatrics Proctored Exam 2023 Quizlet

Correct Answer: C

Rationale: The nurse should encourage the child to express his thoughts and feelings about the upcoming surgery. This approach helps the child feel heard and understood while providing an opportunity to address any misconceptions or fears. By asking the child what he thinks the doctor will do, the nurse engages the child in a conversation that can help alleviate anxiety and build trust. School-age children often have fears related to bodily harm, and open communication can help alleviate such concerns.

Correct Answer: A

Rationale: The correct instruction for a parent of a toddler with congenital heart disease is to offer small, frequent meals. This helps reduce the cardiac workload on the child's heart and aids in easier digestion and nutrient absorption, supporting the child's overall health.

Correct Answer: A

Rationale: The signs and symptoms of dysuria and urgency in a child with daytime enuresis are indicative of a urinary tract infection. These symptoms, including urinary frequency and pain during urination, commonly point towards a UTI. Nephrotic syndrome typically presents with edema, proteinuria, hypoalbuminemia, and hyperlipidemia. Acute glomerulonephritis is characterized by hematuria, proteinuria, hypertension, and oliguria. Vesicoureteral reflux may lead to recurrent UTIs but does not directly present with dysuria and urgency.

Correct Answer: C

Rationale: Nifedipine primarily acts as a calcium channel blocker. It lacks significant effects on the calcium channels of the heart, making it ineffective for treating dysrhythmias like Atrial Fibrillation. Nifedipine is commonly used in conditions such as angina pectoris, essential hypertension, and vasospastic angina due to its vasodilatory effects and anti-anginal properties.

Correct Answer: A

Rationale: When a child is receiving prednisone to treat nephrotic syndrome, it is crucial to assess for infection. Prednisone suppresses the immune system, making the child more vulnerable to infections. Since steroids can mask typical signs of infection, it is essential to look for subtle symptoms to ensure prompt treatment and prevent complications.