ATI Nurselogic 3.0 NCLEX-Style Questions

ATI Nurselogic 3.0 NCLEX-Style Questions 34 studiers today Leave the first rating Students also studied Terms in this set (20) Science MedicinePaediatrics Save ATI Nurselogic 3.0 -> taking the NCL...10 terms s_sagekPreview ATI - NCELX-Style Questions (Asses...

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10 terms tim What actions should a nurse take to ensure adequate management of a respiratory illness in a child?The nurse should monitor hydration status, administer antipyretics like acetaminophen, educate parents on symptom management, and coordinate follow-up care if symptoms persist or worsen.What is the purpose of using the ABCs framework in priority-setting questions?The ABCs framework (Airway, Breathing, Circulation) helps prioritize interventions that address the most immediate threats to a client's life.What are the possible diagnoses for a child presenting with fever, dry cough, and crackles in lung sounds?The possible diagnoses include influenza and COVID-19, as these conditions align with the symptoms of fever, dry cough, and abnormal lung sounds like crackles.What home management education should a nurse provide to parents of a child with respiratory symptoms?Parents should be advised to offer frequent oral rehydration, monitor for signs of worsening symptoms, avoid aspirin due to Reye syndrome risk, and ensure the child rests and avoids daycare until symptoms improve.Which interventions should a nurse prioritize for a child with suspected viral respiratory illness?The nurse should prioritize obtaining a nasopharyngeal specimen for viral testing, administering acetaminophen to reduce fever, and ensuring oral rehydration to prevent dehydration.What clinical features distinguish influenza from other respiratory illnesses in children?Sudden onset of fever, chills, dry cough, and reluctance to eat are hallmark symptoms of influenza, distinguishing it from other respiratory conditions.What conditions should a nurse consider for a child presenting with fever, dry cough, and decreased appetite?The nurse should consider viral illnesses such as influenza or COVID-19, as these symptoms align with common presentations of these conditions.Which modern nursing tool supports early identification of sepsis in hospitalized patients?Continuous vital sign monitoring systems with predictive algorithms identify subtle changes in parameters like heart rate and temperature, facilitating the early detection of sepsis.

What should a nurse prioritize when using NCJMM principles to address a client with unstable vital signs?The nurse should prioritize recognizing and analyzing cues to identify the underlying cause of instability, followed by immediate interventions to stabilize the client.What findings in a child presenting with respiratory symptoms should the nurse recognize as requiring immediate intervention?Findings such as an elevated temperature (outside normal range), crackles in lung sounds, and persistent cough require immediate intervention as they indicate potential complications like pneumonia or worsening respiratory condition.Why is aspirin contraindicated in children with viral illnesses?Aspirin is contraindicated due to the risk of Reye syndrome, which is a rare but severe condition causing brain and liver swelling in children.What indicators suggest improvement in a child treated for respiratory symptoms?Improvement indicators include clear lung sounds, reduced fever, increased oral intake, and resolution of symptoms such as cough and nasal discharge.What findings should the nurse report to the provider for a child with respiratory symptoms?The nurse should report findings like an elevated temperature, abnormal lung sounds such as crackles, and a persistent dry cough as these suggest potential complications requiring medical attention.What is the primary complication to monitor for in a febrile child who is not eating or drinking?The primary complication is dehydration, as reduced fluid intake in a febrile state increases the risk of fluid imbalance and electrolyte issues.How does the Clinical Judgment Measurement Model (NCJMM) align with the nursing process in clinical decision-making?The NCJMM aligns with the nursing process by mapping its six steps to the nursing process stages. For example, 'Recognize Cues' corresponds to 'Assessment/Data Collection,' 'Analyze Cues' corresponds to 'Diagnosis/Analysis,' and 'Take Action' links to 'Implementation.' This alignment ensures that clinical judgment is systematically integrated into patient care.How can a nurse determine if interventions for a child with respiratory illness have been effective?Effectiveness can be assessed by observing symptom improvement, such as normalized temperature, improved hydration, and reduced respiratory distress or abnormal lung sounds.Which nursing assessment challenges are addressed by point-of-care ultrasound (POCUS) devices?POCUS allows nurses to quickly assess internal organ function, detect fluid accumulation, and guide procedures like intravenous access, improving accuracy and reducing reliance on external imaging departments.What is the primary complication of concern for a child who is febrile and refusing fluids?The primary complication of concern is dehydration, as decreased fluid intake in conjunction with fever can quickly lead to critical fluid imbalance in children.Why is parent education critical in managing a child's respiratory illness at home?Parent education is essential to ensure proper hydration, recognition of worsening symptoms, timely medical follow-up, and adherence to preventive strategies like vaccination.What clinical conditions are most consistent with a child presenting with fever, dry cough, and crackles in the lungs?The symptoms are most consistent with influenza or COVID-19, as both conditions commonly present with fever, dry cough, and abnormal lung sounds like crackles.