ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
One of the following medications used in treatment of atopic dermatitis should be discontinued after failure to achieve good results within 4-6 weeks
Correct Answer: C
Rationale: Omalizumab should be discontinued if no improvement is seen within 4-6 weeks.
Question 2 of 5
The patient develops a low-grade fever 18 hours post-operatively and has diminished breath sounds. Which of the following actions is most appropriate for the nurse to take to prevent complications? i.Administer antibiotics iv.Decrease fluid intake ii.Encourage coughing and deepbreathing v.Ambulate patient as ordered iii.Administer acetaminophen (Tylenol)
Correct Answer: A
Rationale: In this scenario, the patient developing a low-grade fever post-operatively along with diminished breath sounds could indicate the possibility of atelectasis or pneumonia. The most appropriate actions for the nurse to take to prevent complications in this situation would be to encourage coughing and deep breathing (to help clear secretions and improve lung expansion) and ambulate the patient as ordered (to promote lung ventilation and prevent further complications). Administering antibiotics, acetaminophen for fever management, and decreasing fluid intake may be considered based on the healthcare provider's assessment and orders, but the immediate nursing interventions to address the presenting symptoms are encouraging coughing and deep breathing and ambulating the patient.
Question 3 of 5
The physician orders tests to determine if a client has systemic lupus erythematosus (SLE). Which test result confirms SLE?
Correct Answer: B
Rationale: An above-normal anti-deoxyribonucleic acid (anti-dsDNA) test result confirms systemic lupus erythematosus (SLE). Anti-dsDNA antibodies are highly specific for SLE and are found in about 70% of individuals with the condition. These antibodies target the genetic material within the cell nucleus and are strongly associated with lupus nephritis, a severe complication of SLE. Therefore, an elevated anti-dsDNA test result would be a key indicator of SLE diagnosis.
Question 4 of 5
What is the maximum accepted rate of drop of serum sodium per 24 hours in hypernatremia?
Correct Answer: A
Rationale: A rapid drop in sodium levels can lead to cerebral edema. The recommended safe correction rate is ≤8 mmol/L per 24 hours to prevent osmotic demyelination and neurological damage.
Question 5 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: Unfamiliar environment: The child being in the intensive care unit is likely in an unfamiliar environment, which can be a significant stressor for both the child and the parents. The sights, sounds, and equipment in an ICU can be overwhelming and anxiety-provoking for families.