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: The correct answer is B: Prolonged wound healing. Prednisolone is a corticosteroid that can suppress the immune system, leading to delayed wound healing. The nurse should monitor for this adverse effect by observing for slow or ineffective healing of any wounds the child may have. Stevens-Johnson syndrome (
A) is a severe skin reaction but is not a common side effect of prednisolone. Hypotension (
C) is not typically associated with prednisolone use. Renal failure (
D) is a potential adverse effect of long-term corticosteroid use but is less common compared to prolonged wound healing.
Question 2 of 5
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Provide a doll for your 3-year-old child to imitate parental behaviors. This is the best option as it allows the child to practice and understand the concept of having a new sibling through play. By imitating parental behaviors with the doll, the child can learn caregiving skills and prepare for the arrival of the new sibling.
Choice A is incorrect because abruptly changing all routines may cause stress and confusion for the child.
Choice C is incorrect as simply telling the child they will have a new playmate may not adequately prepare them for the changes that come with a new sibling.
Choice D is incorrect because it is important to transition the child from crib to bed before the newborn arrives to avoid associating the change with the new sibling.
Question 3 of 5
A nurse is planning care for a preschooler who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Establish a reward system. For children with autism spectrum disorder, establishing a reward system can help reinforce desired behaviors and encourage positive interactions. This intervention is effective in promoting learning and improving behavior. Maintaining extended eye contact (
A) may be overwhelming for a child with autism. Engaging in cooperative play (
C) might be challenging due to difficulties in social interactions. Holding the child during assessments (
D) may cause distress as individuals with autism may have sensory sensitivities.
Question 4 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 5 of 5
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
Correct Answer: C
Rationale: The correct answer is C: Monitor for pallor or swelling in the child's affected hand. This is the priority information because it can indicate complications such as impaired circulation or compartment syndrome, which require immediate medical attention to prevent permanent damage. Skin irritation at the cast edges (choice
A) can be addressed with padding adjustments but is not as urgent. Restricting strenuous activities (choice
B) is important but not the priority. Using a hair dryer on cool setting to relieve itching (choice
D) can cause burns and should be avoided.