ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: B
Rationale: The correct answer is B: A decrease in peripheral edema. Furosemide is a diuretic that helps the body eliminate excess fluid and sodium, reducing fluid overload and edema in heart failure. Monitoring peripheral edema is crucial as a decrease indicates that the medication is effectively reducing fluid retention.
A: An increase in potassium levels is a potential side effect of furosemide due to potassium loss with diuresis.
C: A decrease in cardiac output would be an adverse effect of heart failure worsening, not an indication of furosemide effectiveness.
D: An increase in venous pressure would suggest worsening heart failure and ineffective furosemide therapy.
Question 2 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Discard the first voided specimen. For a 24-hr urine collection, it is important to start the collection with an empty bladder to ensure accuracy. By discarding the first voided specimen, the nurse can begin the collection period accurately. Voiding every hour (
B) is not necessary for a 24-hr collection and could lead to inaccuracies. Cleansing the perineum with povidone-iodine solution (
C) is not required and may introduce contaminants. Saving the final specimen in a separate container (
D) is unnecessary and can complicate the collection process.
Question 3 of 5
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer the next dose as prescribed. It is important to maintain therapeutic levels of digoxin in the infant's system to manage heart failure. Vomiting after administration does not necessarily mean the medication was not absorbed. Skipping a dose may lead to suboptimal treatment. Mixing with formula (
A) may dilute the medication. Giving an antiemetic (
B) may not address the cause of vomiting. Increasing fluid intake (
C) may not prevent vomiting.
Question 4 of 5
A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A. "I will ensure that my child is tested for tuberculosis every year."
Rationale: This statement shows understanding as children with HIV are at increased risk for tuberculosis. Regular testing is essential for early detection and treatment, preventing complications.
Summary of other choices:
B. Incorrect. Risk of transmission doesn't decrease after 2 weeks; consistent adherence to medication is crucial.
C. Incorrect. Doubling medications without healthcare provider's guidance can be harmful.
D. Incorrect. Immunizations are vital for children with HIV and should not be repeated in remission.
Question 5 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "You can choose which leg you get your medicine in." This statement empowers the child by giving them a sense of control over the situation, which can help alleviate anxiety and fear associated with the injection. By allowing the child to choose the leg, it helps build trust and cooperation.
A: Offering a prize for not crying may encourage the child to suppress their emotions rather than addressing them.
B: This statement provides false reassurance and does not prepare the child for the sensation of the injection.
C: While minimizing the sensation is important, this statement does not address the child's autonomy or control.
In summary, choice D is correct as it promotes autonomy and reduces anxiety, while the other choices do not address the child's emotional needs or provide a sense of control.