ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 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 2 of 5
The nurse is aware that a neonate of a mother with diabetes is at risk for what complication?
Correct Answer: B
Rationale: Neonates born to mothers with diabetes are at risk for hypoglycemia due to their exposure to high blood glucose levels in the womb. During pregnancy, the baby's pancreas produces extra insulin to handle the excess glucose from the mother, but after birth, there may be a sudden drop in blood glucose levels in the baby, leading to hypoglycemia. It is important to monitor blood glucose levels closely in these neonates and provide appropriate interventions to prevent and manage hypoglycemia. Anemia, nitrogen loss, and thrombosis are not typically associated with neonates of mothers with diabetes.
Question 3 of 5
All the following are recognized features of 'well-controlled' asthma in a 7-year-old boy EXCEPT
Correct Answer: D
Rationale: More than 2 exacerbations per year suggest suboptimal asthma control, requiring reassessment of management strategies.
Question 4 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 5 of 5
More than 90% of patients with atopic dermatitis have colonization of lesional skin with Staphylococcus aureus, and uninvolved skin has colonization of more than
Correct Answer: D
Rationale: Uninvolved skin in atopic dermatitis patients often has over 50% colonization with S. aureus.