ATI RN
ATI Pediatric Practice Questions Questions
Question 1 of 5
A parent of a child with HIV is being educated by a healthcare provider. Which statement by the parent indicates an understanding of the teaching?
Correct Answer: B
Rationale: In this scenario, option B, "I will give my child the prescribed antiretroviral medication at regular intervals," is the correct statement indicating the parent understands the teaching. This is crucial in managing HIV in children as antiretroviral medications help suppress the virus, improve the child's immune system, and overall health. Option A is incorrect because disclosing a child's HIV status to the school may violate privacy laws and could lead to stigma and discrimination. Option C is incorrect because children with HIV may have specific immunization guidelines due to their condition. Option D is incorrect as skin testing is not a routine procedure for children with HIV. Educationally, understanding the importance of adherence to antiretroviral therapy in managing HIV in children is essential for parents to ensure the best possible outcomes for their child's health. Teaching parents about the specific care needs for children with HIV empowers them to provide optimal care and support for their child's well-being.
Question 2 of 5
A 6-year-old child with daytime enuresis complains of dysuria and urgency. What does the nurse recognize these signs and symptoms indicate?
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.
Question 3 of 5
The 6-year-old child scheduled for an orchiopexy shyly asks the nurse, 'What are they going to do to me 'down there'? What is the nurse's best response?
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.
Question 4 of 5
Why is it important to assess for in a child receiving prednisone to treat nephrotic syndrome?
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.
Question 5 of 5
A child with nephrotic syndrome has not experienced diuresis after a month on corticosteroids. What protocol can the nurse encourage to induce diuresis?
Correct Answer: B
Rationale: If diuresis has not occurred with corticosteroids in nephrotic syndrome, a diuretic like Furosemide (Lasix) is the appropriate choice to promote diuresis. Furosemide works by increasing urine production and reducing fluid retention. While Ibuprofen is an anti-inflammatory agent, it does not directly induce diuresis. Ciprofloxacin is an antibiotic and is not indicated for promoting diuresis in this scenario. Cyclophosphamide is an immunosuppressant, not an antisuppressant, and is not typically used to induce diuresis in nephrotic syndrome.