ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: D
Rationale: The correct answer is D: Bradypnea. Morphine is an opioid that can cause respiratory depression, leading to bradypnea (slow breathing). The nurse should monitor the child for signs of respiratory distress, such as shallow breathing or a decreased respiratory rate. Stevens-Johnson syndrome (choice
A) is a severe skin reaction not typically associated with morphine. Hypertension (choice
B) is not a common adverse effect of morphine; in fact, it can cause hypotension. Prolonged wound healing (choice
C) is not directly related to morphine use but may be a concern with certain medications that affect the immune system.
Question 2 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 because it indicates circulation issues, such as compartment syndrome, which is a medical emergency that can lead to tissue damage. Skin irritation at cast edges (
A) is important but not as urgent as circulation issues. Restricting strenuous activities (
B) is important for healing but not the priority. Using a hair dryer for itching (
D) can introduce moisture into the cast, leading to skin breakdown.
Extract:
History and Physical: A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10.
Question 3 of 5
Select the 5 interventions the nurse should include.
Correct Answer: B,C,D
Rationale: The correct interventions are B, C, and D. B: Hydroxyurea helps decrease sickle cell crisis frequency. C: Meperidine is used for pain management in sickle cell disease. D: Pneumococcal vaccine helps prevent infections. A is incorrect as oral intake should not be restricted in sickle cell crisis. E, F, and G are not provided in the question.
Extract:
Question 4 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Your child should walk the bicycle through intersections. This instruction is crucial for bicycle safety as it reduces the risk of accidents at intersections where visibility may be limited. Walking the bicycle allows the child to be more aware of their surroundings and potential hazards.
Choice A is incorrect because a child should always ride the bicycle with traffic flow, not against it, to avoid collisions with oncoming vehicles.
Choice B is incorrect as keeping the bicycle at least 3 feet from the curb may actually increase the risk of collisions with vehicles or obstacles on the road. Riding closer to the curb is safer.
Choice D is incorrect as the child's feet should be able to touch the ground while seated on the bicycle for stability and control, not 3 to 6 inches off the ground.
Overall, the correct answer emphasizes safety and awareness at intersections, making it the most appropriate choice for teaching bicycle safety to a child.
Question 5 of 5
A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?
Correct Answer: C
Rationale: The correct answer is C. Droplet precautions are indicated for seasonal influenza due to the potential for transmission through respiratory droplets. The nurse should wear a mask when in close contact with the toddler to prevent the spread of the virus. Pediculosis capitis (lice), viral conjunctivitis, and hepatitis A do not require droplet precautions as they are not primarily transmitted through respiratory droplets. Lice are transmitted through direct contact, conjunctivitis through contaminated surfaces or personal contact, and hepatitis A through the fecal-oral route. In summary, only the toddler with seasonal influenza requires droplet precautions, while the other options do not warrant such measures.