ATI RN Pediatric Nursing 2023 Exam 3 | Nurselytic

Correct Answer: D

Rationale: The correct answer is D: Initiate airborne precautions. Varicella (chickenpox) is highly contagious and spreads through respiratory droplets. Airborne precautions help prevent the transmission of the virus to others. Providing a warm blanket (
A) is not directly related to managing varicella. Assessing for Koplik spots (
B) is associated with measles, not varicella. Administering aspirin for fever (
C) is contraindicated in varicella due to the risk of Reye's syndrome.

Correct Answer: B

Rationale: The correct answer is B: A decrease in peripheral edema. Furosemide is a diuretic that helps the body eliminate excess fluid and sodium, reducing fluid overload and edema in heart failure. Monitoring peripheral edema is crucial as a decrease indicates that the medication is effectively reducing fluid retention.

A: An increase in potassium levels is a potential side effect of furosemide due to potassium loss with diuresis.
C: A decrease in cardiac output would be an adverse effect of heart failure worsening, not an indication of furosemide effectiveness.
D: An increase in venous pressure would suggest worsening heart failure and ineffective furosemide therapy.

Correct Answer: C

Rationale: The correct answer is C: RBC count 5/mm3 (4 to 5.5/mm3). In the context of acute lymphoblastic leukemia treatment, a therapeutic effect is indicated by a normal or near-normal RBC count. This is because leukemia often leads to suppression of normal blood cell production, resulting in low RBC counts.
Therefore, an RBC count within the normal range suggests that the treatment is effectively targeting the leukemia cells and allowing the bone marrow to produce healthy red blood cells.


Choice A is incorrect because a hemoglobin level of 6.8 g/dL is low, indicating anemia, which is a common side effect of leukemia and not a sign of therapeutic effect.
Choice B is incorrect because a platelet count of 98,000/mm3 is below the normal range and indicates thrombocytopenia, which is also a common side effect of leukemia treatment.
Choice D is incorrect because a WBC count of 15,000/mm3

Correct Answer: C

Rationale: The correct answer is C: a toddler who has seasonal influenza. Droplet precautions are used for illnesses transmitted through respiratory secretions, such as influenza. Seasonal influenza is a contagious respiratory illness spread through droplets when an infected person coughs or sneezes. This precaution includes wearing a mask within close proximity to the child to prevent the spread of the virus.

Incorrect choices:
A: Pediculosis capitis (head lice) is spread through direct head-to-head contact, not respiratory secretions.
B: Viral conjunctivitis is an eye infection spread through direct contact with discharge from the eye, not respiratory droplets.
D: Hepatitis A is primarily spread through the fecal-oral route, not respiratory secretions.

Correct Answer: B

Rationale: The correct answer is B: Doll's eye reflex intact. This reflex, also known as oculocephalic reflex, should not be present in infants beyond 3 months old. It involves the eyes moving in the opposite direction of head movement, which is abnormal in older infants. This finding could indicate a neurological issue and should be reported to the provider for further evaluation.

Choice A is normal as lack of head lag at 4 months indicates appropriate muscle tone.
Choice C is normal as infants should start producing tears when crying around this age.
Choice D is normal in infants under 2 years old as the Babinski reflex is present until this age.