ATI RN
ATI Nursing Proctored Pediatric Test Banks Questions
Question 1 of 5
Which of the ff is an assessment finding in a client with bonchiectasis?
Correct Answer: C
Rationale: Bronchiectasis is a condition characterized by the abnormal widening and thickening of the bronchial tubes, leading to a build-up of mucus. One of the common assessment findings in clients with bronchiectasis is the expectoration of small amounts of sputum. This is due to the increased mucus production and impaired clearance from the airways. The sputum may be foul-smelling and may contain pus or blood due to chronic infection and inflammation in the bronchial tubes.
Question 2 of 5
A patient is being given penicillin via IV piggyback and develops an anaphylactic reaction. Which of the following should be the nurse's first action?
Correct Answer: D
Rationale: In the scenario of a patient developing an anaphylactic reaction to penicillin via IV piggyback, the nurse's first action should be to discontinue the administration of the antibiotic to prevent further exposure and potential worsening of the reaction. Turning off the antibiotic is critical as it stops the source of the allergic reaction. This step takes precedence over any other actions including calling the doctor, maintaining the antibiotic, or calling for help, as stopping the infusion is the most immediate and important action to take in managing an anaphylactic reaction. Once the antibiotic has been turned off, the nurse can then proceed with providing appropriate emergency treatments and notifying the healthcare team for further management.
Question 3 of 5
Why must clients who will undergo diagnostic skin test avoid taking antihistamine or cold preparations for at least 48-72 hrs before testing?
Correct Answer: C
Rationale: Antihistamines are medications commonly used to relieve symptoms of allergies, including itching, sneezing, and hives. When a client undergoing a diagnostic skin test for allergies takes antihistamines, it can suppress the body's allergic response, leading to false negative results. This means that the test may not accurately identify all the substances to which the client is allergic, potentially leading to a misdiagnosis. To ensure the accuracy of the skin test, clients are advised to avoid taking antihistamines or cold preparations for at least 48-72 hours before the testing to allow their body to exhibit the appropriate allergic response.
Question 4 of 5
A client with HIV has been prescribed anti viral medications. What instructions related to administration of medications should the nurse give such a client?
Correct Answer: A
Rationale: The nurse should instruct the client to comply with the timing of antiviral medication around meals. Taking some antiviral medications with food can help reduce gastrointestinal side effects. Certain medications may be more effective when taken with food, while others may need to be taken on an empty stomach. It is essential for the client to follow the specific instructions given by their healthcare provider to ensure the optimal effectiveness of the antiviral medications.
Question 5 of 5
A client with rheumatoid arthritis is about to begin aspirin therapy to reduce inflammation. When teaching the client about aspirin, the nurse discusses adverse reactions to prolonged aspirin therapy. These include:
Correct Answer: D
Rationale: Prolonged aspirin therapy can lead to a rare side effect known as aspirin-induced hearing loss, which manifests as bilateral hearing loss. This adverse reaction is typically associated with higher doses of aspirin and longer durations of use. It is important for healthcare providers to monitor for signs of hearing loss in patients receiving long-term aspirin therapy, especially those with rheumatoid arthritis or other inflammatory conditions, to prevent irreversible damage to the hearing. Weight gain, respiratory acidosis, and fine motor tremors are not commonly associated with prolonged aspirin therapy.