ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Question 1 of 5
A nurse is providing teaching to the parent of a school-age child who has a maintenance prescription for prednisone following an acute asthma attack. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "My child might experience mood swings." This statement indicates an understanding of the side effects of prednisone, which can include mood swings due to its impact on hormone levels. Mood swings are a common side effect of corticosteroids like prednisone.
Incorrect choices:
B: Taking the child for a weekly blood test is unnecessary for maintenance prednisone therapy.
C: Withholding medication before physical activity can be dangerous and is not recommended for maintenance therapy.
D: Prednisone can cause increased appetite rather than decreased appetite in some individuals.
In summary, understanding the potential side effects of prednisone, such as mood swings, is crucial for the parent to ensure proper monitoring and management of their child's health.
Question 2 of 5
A charge nurse is observing a staff nurse who is caring for a child who has pertussis. Which of the following actions by the staff nurse indicates an understanding of infection control practices?
Correct Answer: A
Rationale: The correct answer is A because maintaining droplet precautions while the child is coughing and sneezing is appropriate for pertussis, which is transmitted through respiratory droplets. This includes wearing a mask within 3 feet of the child, ensuring proper hand hygiene, and using dedicated equipment. Options B, C, and D are incorrect because applying a face mask after entering the room, wearing gloves for bathroom assistance, and using an N95 respirator for airborne precautions are not specific to pertussis infection control measures. Option B is more focused on protecting the nurse rather than preventing transmission. Option C is not directly related to pertussis transmission, and option D is excessive for the mode of transmission of pertussis.
Question 3 of 5
A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Check the pH of the gastric secretions. This should be done first to ensure proper tube placement in the stomach. If the pH is acidic (pH < 4), it indicates the tube is in the stomach. If the pH is alkaline (pH > 6), it indicates the tube might be in the respiratory tract or intestine. This step is crucial to prevent complications such as aspiration. Setting the administration rate on the feeding pump (
B) should come after confirming tube placement. Flushing the tube with water (
C) should be done after confirming tube placement. Attaching the feeding bag tubing to the end of the NG tube (
D) should only be done after confirming proper tube placement to avoid complications.
Question 4 of 5
A nurse is preparing to administer an oral medication to a preschooler. Which of the following actions should the nurse take to encourage acceptance of the medication?
Correct Answer: A
Rationale: The correct answer is A: Provide an ice pop after administering the medication. Offering a reward or positive reinforcement, such as an ice pop, after taking the medication can encourage the preschooler to accept it. This creates a positive association with the medication, increasing the likelihood of compliance.
Choice B, giving milk with the medication, may not be effective if the child dislikes the taste of the medication.
Choice C, mixing the medication with food, may make it difficult to ensure the full dose is taken.
Choice D, diluting the medication with water, may alter its effectiveness and taste, leading to resistance.
Question 5 of 5
A nurse is caring for an adolescent who has major depressive disorder. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A. Asking the client if he is considering harming himself is the priority as it assesses the immediate risk of self-harm, which is crucial in managing major depressive disorder. This action allows the nurse to evaluate the severity of the client's condition and initiate appropriate interventions to ensure the client's safety. Encouraging group therapy (
B) and administering antidepressants (
C) are important, but assessing for self-harm takes precedence. Assisting with ADLs (
D) is also important but not as urgent as assessing for self-harm.