ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
A child has just been unexpectedly admitted to the intensive care unit after abdominal surgery. The nursing staff has completed the admission process, and the child's condition is beginning to stabilize. When speaking with the parents, the nurses should expect which stressors to be evident? (Select all that apply.)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
An adolescent has been diagnosed with Chlamydia infection. Which medication should the nurse expect to be prescribed for this condition?
Correct Answer: B
Rationale: Chlamydia infection is commonly treated with antibiotics, such as azithromycin or doxycycline. Azithromycin is often preferred due to its convenience of a single oral dose. It is effective in treating Chlamydia infections in both adolescents and adults. Ceftriaxone, penicillin G benzathine, and acyclovir are used to treat different types of infections and are not appropriate choices for Chlamydia infection.
Question 3 of 5
A child is admitted with acute glomerulonephritis. What should the nurse expect the urinalysis to show during the acute phase?
Correct Answer: B
Rationale: The nurse should expect the urinalysis to show hematuria (blood in the urine) and proteinuria (excess protein in the urine) during the acute phase of glomerulonephritis. Hematuria is a common finding due to the inflammation and damage to the glomeruli, which allows red blood cells to leak into the urine. Proteinuria occurs because the damaged glomeruli are unable to effectively filter out proteins, leading to their presence in the urine. Bacteriuria and increased specific gravity are not typically associated with acute glomerulonephritis.
Question 4 of 5
A school-age child with chronic renal failure is admitted to the hospital with a serum potassium level of 5.2 mEq/L. Which prescribed medication should the nurse plan to administer?
Correct Answer: B
Rationale: A serum potassium level of 5.2 mEq/L indicates hyperkalemia, which can be dangerous for a child with chronic renal failure. Sodium polystyrene sulfonate (Kayexalate) is a medication commonly used to treat hyperkalemia by exchanging sodium ions for potassium ions in the intestine, promoting the elimination of excess potassium through the gastrointestinal tract. This helps lower the serum potassium levels and prevent complications associated with hyperkalemia. Spironolactone (Aldactone) is a potassium-sparing diuretic and should be avoided in a child with hyperkalemia. Lactulose (Cephulac) is a laxative and does not directly address high potassium levels. Calcium carbonate (Calcitab) is a calcium supplement and is not indicated for managing hyperkalemia.
Question 5 of 5
A 6-month-old infant is receiving digoxin (Lanoxin). The nurse should notify the practitioner and withhold the medication if the apical pulse is less than _______ beats/min.
Correct Answer: A
Rationale: Digoxin is a medication commonly used to treat infants with heart conditions. One of the primary concerns with digoxin therapy is the risk of toxicity, which can lead to serious cardiac arrhythmias. Bradycardia, or a heart rate less than 60 beats per minute, is a common sign of digoxin toxicity. Therefore, if a 6-month-old infant receiving digoxin has an apical pulse rate of less than 60 beats/min, the nurse should notify the practitioner and withhold the medication to prevent further complications.