ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
Correct Answer: D
Rationale: The correct answer is D: The child swallows frequently. This is the priority assessment finding because it could indicate bleeding post-tonsillectomy, which is a potential complication requiring immediate intervention to prevent further complications. The other options are not as urgent: A is expected after surgery, B can be managed by offering alternatives, and C is common postoperatively due to discomfort.
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: The correct answer is B: Prolonged wound healing. Prednisolone is a corticosteroid that can delay wound healing by suppressing the immune response and reducing inflammation. The nurse should monitor for signs of delayed wound healing, such as increased redness, swelling, or drainage at the wound site. Stevens-Johnson syndrome (
A) is a severe allergic reaction, not typically associated with prednisolone. Hypotension (
C) is more commonly seen with other medications like antihypertensives. Renal failure (
D) is not a common adverse effect of prednisolone.
Question 3 of 5
A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: "You can replace milk with nondairy sources of calcium." This is the best instruction because it addresses the issue of lactose intolerance by suggesting alternative sources of calcium. Nondairy sources like leafy green vegetables, tofu, and fortified foods can provide adequate calcium without causing digestive issues.
Choice B is incorrect because lactose intolerance is a reaction to the lactose sugar in milk, not the type of milk. Plain or chocolate milk both contain lactose.
Choice C is incorrect as flavored yogurt often contains added sugars which may exacerbate digestive issues for someone with lactose intolerance.
Choice D is incorrect because consuming milk on an empty stomach won't change the fact that it contains lactose, which can still cause discomfort for someone with lactose intolerance.
Overall, choice A is the best option as it provides a practical and effective solution for meeting calcium needs while managing lactose intolerance.
Extract:
History and Physical: School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamins A, D, E, and K. Barrel-shaped chest, Clubbing of the fingers bilaterally, Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough
Question 4 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
Correct Answer: A,C,E
Rationale: The correct answer is A, C, and E.
A - Pancreatic lipase is commonly used to aid digestion in children with pancreatic insufficiency.
C - Water-soluble vitamins may be prescribed for children who have certain nutritional deficiencies or malabsorption issues.
E - Dornase alfa is used to help treat cystic fibrosis by reducing the thickness of mucus in the lungs.
B - Acetaminophen is a common over-the-counter pain reliever and fever reducer, not typically prescribed or reconciled in a child's medical record.
D - Meperidine is a narcotic analgesic with potential side effects and risks, not commonly prescribed for children.
Extract:
Question 5 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicate the treatment is effective?
Correct Answer: C
Rationale: The correct answer is C: "My child went to the bathroom two times when the alarm went off last night." This indicates the treatment is effective because the conditioning therapy involves using a bedwetting alarm to wake the child when they start to urinate, teaching them to wake up to use the bathroom. Going to the bathroom when the alarm goes off shows the child is responding to the alarm by waking up and using the bathroom, which is the desired outcome of the therapy.
Other choices are incorrect:
A: Holding urine for 15 minutes may not necessarily indicate treatment effectiveness.
B: Drinking less is not a direct indicator of treatment effectiveness for enuresis.
D: Kegel exercises do not directly relate to the effectiveness of conditioning therapy for enuresis.