ATI RN
Pediatric ATI Practice Questions Questions
Question 1 of 5
A patient taking sildenafil (Viagra) asks a nurse what action to take if priapism occurs. Which response should the nurse provide?
Correct Answer: D
Rationale: Patients experiencing priapism from sildenafil should seek immediate medical attention. Priapism is a serious condition where an erection lasts longer than 4 hours, and if left untreated, it can lead to irreversible damage to the penile tissue, potentially causing permanent erectile dysfunction. Therefore, prompt intervention is crucial to prevent long-term complications.
Question 2 of 5
A patient is taking a first-generation H1 blocker for the treatment of allergic rhinitis. It is most important for the nurse to assess for which adverse effect?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Dry mouth. First-generation H1 blockers, such as antihistamines like diphenhydramine, commonly cause dry mouth as an adverse effect due to their anticholinergic properties. This adverse effect occurs because these medications inhibit the action of acetylcholine, leading to decreased salivary gland secretions. A) Skin flushing is not typically associated with first-generation H1 blockers; instead, it can be seen with niacin or some vasodilators. B) Wheezing is not a common adverse effect of first-generation H1 blockers; it may be a sign of bronchoconstriction in asthma or allergic reactions. C) Insomnia is more commonly associated with decongestants or medications containing pseudoephedrine due to their stimulant effects on the central nervous system. Educationally, it is crucial for nurses to understand the common adverse effects of medications to provide safe and effective care to pediatric patients. By recognizing and assessing for potential adverse effects like dry mouth, nurses can promptly intervene, educate patients and families, and collaborate with healthcare providers to ensure optimal medication management.
Question 3 of 5
The nurse is reviewing the prescriber’s orders and notes that omeprazole has been order for a patient admitted with acute coronary syndrome (ACS). The nurse should be concerned if this medication is combined with which medication noted on the patient’s record.
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Clopidogrel (Plavix) 75mg daily. Omeprazole is a proton pump inhibitor that can inhibit the activation of clopidogrel, potentially reducing its antiplatelet effect and increasing the risk of cardiovascular events in patients with ACS. This interaction is known as a pharmacodynamic drug-drug interaction. Option A) Aspirin 81mg daily is commonly prescribed in patients with ACS to prevent platelet aggregation and is not contraindicated with omeprazole. Option C) Heparin 5000 units subQ q12hrs is an anticoagulant medication that does not have a significant interaction with omeprazole. Option D) Metoprolol 50mg q8hrs is a beta-blocker used in ACS to reduce myocardial oxygen demand and is not contraindicated with omeprazole. Educationally, understanding drug interactions is crucial for pediatric nurses to ensure safe medication administration and prevent potential adverse effects in pediatric patients, especially those with complex conditions like ACS. It is essential to review medication orders thoroughly, recognize potential interactions, and collaborate with the healthcare team to optimize patient outcomes.
Question 4 of 5
Which statement regarding the human papillomavirus vaccine (Gardasil) is true?
Correct Answer: C
Rationale: The correct answer is C) Gardasil is recommended for males and females. This statement is true because the human papillomavirus (HPV) vaccine, specifically Gardasil, is recommended for both males and females to protect against various strains of HPV that can lead to genital warts and certain types of cancers, including cervical cancer. Option A is incorrect because Gardasil is actually administered in a three-dose series, not a two-dose series. Option B is incorrect because Gardasil does not provide protection against chlamydia; it specifically targets HPV. Option D is incorrect because Gardasil does not become fully effective after the first dose; the full series of doses is needed to provide optimal protection. In the context of pediatric nursing, it is crucial to understand the importance of HPV vaccination in both male and female patients. Educating parents and caregivers about the benefits of HPV vaccination can help prevent HPV-related diseases later in life. Emphasizing the need for completing the full series of doses is also vital to ensure maximum effectiveness of the vaccine.
Question 5 of 5
How do activity observation and analysis support pediatric occupational therapy intervention?
Correct Answer: C
Rationale: Activity observation and analysis support pediatric occupational therapy intervention by synthesizing information obtained through observation to identify alternative methods of performing activities. This process assists in intervention planning by exploring different approaches to help children achieve their occupational therapy goals effectively.