ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: A. No head lag when pulled to a sitting position is a normal finding at 4 months of age and does not require notification of the provider. B. The Doll's eye reflex (also known as oculocephalic reflex) should be absent by 4 months of age. Its persistence could indicate neurological abnormalities and warrants further evaluation by the provider. C. Presence of tears when crying is a normal physiological response and does not require notification of the provider. D. Positive Babinski reflex is normal in infants under 2 years old and typically disappears by 12 to 24 months of age. It does not require immediate notification of the provider.
Question 2 of 5
A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: A. Stevens-Johnson syndrome is a severe adverse reaction associated with certain medications but is not typically associated with prednisolone. B. Prolonged wound healing is a potential adverse effect of corticosteroid therapy such as prednisolone. C. Hypotension is not a common adverse effect of prednisolone. D. Renal failure is not typically associated with prednisolone use.
Question 3 of 5
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: A. While preparing the 3-year-old child for changes in routines is important, it is too general. Providing specific strategies like role-playing with a doll would be more helpful. B. Providing a doll for the 3-year-old child to imitate parental behaviors is an effective way to help them understand and adjust to the new sibling's arrival. This encourages a sense of involvement and can help alleviate feelings of jealousy or displacement. C. While telling the 3-year-old child about having a new playmate is positive, it does not offer concrete strategies for preparing the child for the new sibling's arrival. D. Waiting for the newborn to come home before moving the 3-year-old child from the crib to a bed may not be necessary. The transition from crib to bed can be independent of the newborn's arrival and should be based on the child's readiness.
Question 4 of 5
A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?
Correct Answer: C
Rationale: A. Pediculosis capitis (head lice) does not require droplet precautions. B. Viral conjunctivitis is typically transmitted through contact precautions rather than droplet precautions. C. Seasonal influenza is transmitted via respiratory droplets, necessitating droplet precautions to prevent transmission. D. Hepatitis A is transmitted via the fecal-oral route and does not require droplet precautions.
Question 5 of 5
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: C
Rationale: A. Low hemoglobin indicates anemia, which is a common side effect of leukemia and its treatment, so it does not necessarily indicate treatment effectiveness. B. Platelet count within normal range is a positive sign, but it does not directly indicate the effectiveness of treatment for leukemia. C. Normalization of the RBC count indicates bone marrow recovery, suggesting treatment effectiveness in acute lymphoblastic leukemia. D. Elevated WBC count is expected in leukemia and may not necessarily indicate treatment effectiveness.