ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Apply pressure just above the insertion site. This action is crucial to control the bleeding and prevent further complications. Applying pressure directly over the site helps to stop the bleeding and stabilize the child's condition. Monitoring the pulse distal to the insertion site (
B) is important but secondary to stopping the bleeding. Obtaining vital signs (
C) can wait until the bleeding is controlled. Reinforcing the dressing (
D) is not the priority as the dressing is already saturated with blood.
Question 2 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: The correct answer is C: a toddler who has seasonal influenza. Droplet precautions are used for illnesses transmitted through respiratory secretions, such as influenza. Seasonal influenza is a contagious respiratory illness spread through droplets when an infected person coughs or sneezes. This precaution includes wearing a mask within close proximity to the child to prevent the spread of the virus.
Incorrect choices:
A: Pediculosis capitis (head lice) is spread through direct head-to-head contact, not respiratory secretions.
B: Viral conjunctivitis is an eye infection spread through direct contact with discharge from the eye, not respiratory droplets.
D: Hepatitis A is primarily spread through the fecal-oral route, not respiratory secretions.
Question 3 of 5
A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Monitor the newborn's temperature every 2 hr. Hyperbilirubinemia can lead to increased risk of hypothermia during phototherapy. Monitoring temperature every 2 hours is crucial to detect any signs of hypothermia early and prevent complications. Checking the newborn's eyes every 8 hours (
A) is not directly related to managing hyperbilirubinemia or phototherapy. Placing mittens on the newborn's hands (
B) is not necessary for this situation. Applying lotion to the newborn's skin (
D) is not indicated and can interfere with phototherapy.
Question 4 of 5
A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: The correct answer is B: Lateral. Placing the child in the lateral position for a lumbar puncture allows for better visualization of the spinal landmarks and facilitates easier access to the lumbar region for the procedure. This position also helps minimize the risk of complications such as nerve injury or leakage of cerebrospinal fluid. Other positions are incorrect: A: Prone would not provide the optimal access needed for a lumbar puncture. C: Supine does not allow for proper alignment of the spine. D: Semi-Fowler's position would not provide the necessary exposure of the lumbar region.
Question 5 of 5
A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Avoid raw fruits and vegetables in the child's diet. Neutropenia is a condition characterized by low neutrophil count, leading to increased susceptibility to infections. Raw fruits and vegetables may harbor bacteria that can cause infections in immunocompromised individuals.
Therefore, avoiding raw produce helps reduce the risk of infection. Administering vaccines prior to discharge (
Choice
A) may be important for other conditions, but in neutropenia, live vaccines are contraindicated. Bathing the child every other day (
Choice
C) and obtaining rectal temperature daily (
Choice
D) are not specific to managing neutropenia.