ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: A. Temperature within normal range may indicate the absence of infection, but it does not specifically indicate effectiveness of treatment for glomerulonephritis. B. Absence of pain with voiding is a positive sign but does not directly indicate the effectiveness of treatment for glomerulonephritis. C. Clear urine indicates resolution of hematuria, a common symptom of acute poststreptococcal glomerulonephritis, suggesting treatment effectiveness. D. Odorless urine is a general characteristic of urine and does not specifically indicate the effectiveness of treatment for glomerulonephritis.
Question 3 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: B
Rationale: A.
Toddlers thrive on routines and consistency, which provide them with security and predictability. B.
Toddlers are in a stage of development where they assert their independence and autonomy by saying 'no' or 'mine' to almost everything. This is a normal and healthy behavior that reflects their growing sense of self and identity. The nurse should explain to the guardian that this behavior is not meant to be defiant or disrespectful, but rather a way of exploring their environment and expressing their preferences. C.
Toddlers are typically emotionally labile, meaning they can experience rapid changes in mood and emotions. D.
Toddlers may display increased independence rather than increased dependency as they strive to assert their autonomy.
Question 4 of 5
A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A. Amphotericin B is an antifungal medication and is not indicated for impetigo, which is a bacterial skin infection. B. Lidocaine ointment is a local anesthetic and is not indicated for the treatment of impetigo. C. Impetigo is highly contagious, and contact isolation precautions should be initiated to prevent its spread within the hospital setting. D. Reporting the disease to the state health department may be necessary for surveillance purposes, but the immediate priority is to implement infection control measures.
Question 5 of 5
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, 'I don't understand why they need to do this procedure.' Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A. Requesting assistance from the anesthesiologist may not directly address the guardian's misunderstanding about the procedure and may not be necessary unless there are specific anesthesia-related concerns. B. While this option suggests a proactive approach by the nurse, it may not be appropriate unless the nurse is sufficiently knowledgeable about the specifics of the cardiac catheterization and has been delegated this task by the healthcare team. Typically, the primary responsibility lies with the healthcare provider performing the procedure. C. Witnessing the adolescent's signature on the informed consent form is an important step in the consent process but does not directly address the guardian's misunderstanding about the procedure. D. This action is appropriate because the provider has the knowledge and responsibility to explain why the cardiac catheterization is necessary, the benefits it offers, and any risks associated with the procedure. It ensures that the guardian receives accurate and detailed information directly from the expert who will be performing the procedure, facilitating an informed decision.