ATI RN
ATI Nur307 Pediatrics Quiz 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: C
Rationale: A decrease in peripheral edema indicates furosemide is effectively reducing fluid retention, a sign of its efficacy.
Question 2 of 5
A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?
Correct Answer: A
Rationale: Frequent negative responses, such as saying 'no,' are typical in toddlers due to their desire for independence.
Question 3 of 5
A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: C
Rationale: Vomiting is a sign of digoxin toxicity, requiring immediate attention to reassess the dose and check for other toxicity signs.
Extract:
Nurses' Notes: 0915: Received the child awake, alert, and crying. Parent states that child was playing with remote control toy and when the parent heard the child crying, they noticed that a battery was missing from the toy. The parent states that the child was drooling more than usual and witnessed them gagging periodically. 0930: Child is lying on parent's chest with eyes open and requesting 'sippy cup.' Continues to have expiratory wheezing in bilateral upper lobes. Preparing child for diagnostic testing. Vital Signs: 0915: Blood pressure 88/45 mm Hg, Heart rate 90/min, Respiratory rate 30/min, Axillary temperature 36.9° C (98.4° F), Oxygen saturation 96%. 0930: Blood pressure 86/46 mm Hg, Heart rate 88/min, Respiratory rate 28/min, Axillary temperature 36.9° C (98.4° F), Oxygen saturation 95%. Assessment: 0915: Child awake and sobbing, asking parent for 'sippy cup' with excessive drooling and occasionally gagging. Breath sounds with small expiratory wheezing noted in bilateral upper lobes; respirations slightly elevated as child continues to cry and sob. Oxygen saturation 96% on room air. Penlight used to inspect throat with no visual signs of foreign object; no visual objects in child's nose or ears upon inspection. Pupils equal, round, and reactive to light and accommodation. Abdomen soft and nontender with active bowel sounds in all four quadrants. Skin warm, pink, and smooth. Yellow urine noted in child's diaper. Provider notified of assessment findings. Laboratory Results: 0930: X-ray of the neck, chest, and abdomen completed. Biplane radiographic study identifies object in esophagus. No foreign objects visualized in the chest or abdomen.
Question 4 of 5
Complete the following sentence by using the list of options. The nurse should first __ followed by __.
Correct Answer: A,B
Rationale: Keeping the child NPO is crucial to prevent further ingestion or aspiration of the battery, which could lead to serious complications. Preparing the child for flexible endoscopy is the second action to visualize and safely remove the battery from the esophagus.
Extract:
Question 5 of 5
A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: D
Rationale: Keeping electrical wires hidden from view helps prevent toddlers from pulling or chewing on them, reducing the risk of electric burns or shocks.