ATI RN
ATI RN Pediatrics Nursing 2023 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: A
Rationale: The correct answer is A: 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 the child's wound healing progress.
Choice B, hypotension, is not a common adverse effect of prednisolone.
Choice C, Stevens-Johnson syndrome, is a severe skin reaction typically caused by medications like sulfonamides, not corticosteroids.
Choice D, renal failure, is also not a common adverse effect of prednisolone. Monitoring for prolonged wound healing is crucial to prevent complications and ensure the child's well-being.
Question 2 of 5
A nurse is preparing to insert an IV into the arm of an infant. Which of the following types of restraint should the nurse use?
Correct Answer: A
Rationale: The correct answer is A: Swaddle wrap. This is the most appropriate type of restraint for an infant when inserting an IV because it allows for secure immobilization of the infant's arm without restricting circulation or causing discomfort. The swaddle wrap helps to keep the infant's arm in a stable position, making it easier for the nurse to insert the IV safely and effectively.
The other choices are incorrect:
B: Jacket - A jacket would not provide the necessary immobilization required for the infant's arm during the IV insertion.
C: Elbow - Restraining only the elbow would not be sufficient to prevent the infant from moving their arm during the procedure.
D: Hand mitts - Hand mitts would restrict movement of the hands but would not provide the necessary immobilization of the entire arm for the IV insertion.
Question 3 of 5
A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: The correct position for a child undergoing a lumbar puncture is lateral. Placing the child in a lateral position allows for easier access to the spine while keeping the spine flexed. This position helps to open up the spaces between the vertebrae, making it safer and more efficient for the procedure. The prone position (choice
A) would not provide adequate access, the supine position (choice
C) would not allow for proper flexion of the spine, and the semi-Fowler's position (choice
D) is not ideal for a lumbar puncture.
Therefore, the lateral position is the most appropriate choice for this procedure.
Extract:
A nurse is preparing to administer immunizations to a 5-year-old child who is up-to-date with the current immunization schedule.
Question 4 of 5
Which of the following immunizations should the nurse plan to administer?
Correct Answer: D
Rationale: The correct answer is D: Varicella. Varicella vaccine is recommended for children to prevent chickenpox caused by the varicella-zoster virus. Administering this vaccine helps protect individuals from contracting the disease, reducing the severity of symptoms and potential complications. Rotavirus (
A) is given to prevent severe diarrhea in infants. Hepatitis B (
B) is administered to prevent hepatitis B virus infection. Haemophilus influenzae type b (
C) vaccine is given to prevent bacterial infections caused by H. influenzae type b.
Extract:
Question 5 of 5
A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Infuse each unit of blood within 4 hours. This is important because packed RBCs must be infused within a specific timeframe to prevent bacterial growth and maintain the integrity of the blood product. Infusing the blood within 4 hours helps reduce the risk of bacterial contamination and ensures the effectiveness of the transfusion.
Explanation for other choices:
A: Infusing dextrose 5% in water during the infusion of packed RBCs is not necessary and may lead to fluid overload in the child.
B: Administering RBCs using non-filtered IV tubing can increase the risk of air embolism and contamination, so it is not the correct intervention.
D: Storing the second unit of blood at room temperature for up to 2 hours is incorrect as blood products should be stored under specific temperature conditions to maintain their quality and safety.