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 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 delay wound healing by suppressing the immune response and reducing inflammation. The nurse should monitor for signs of delayed wound healing, such as increased redness, swelling, or drainage at the wound site. Stevens-Johnson syndrome (
A) is a severe allergic reaction, not typically associated with prednisolone. Hypotension (
C) is more commonly seen with other medications like antihypertensives. Renal failure (
D) is not a common adverse effect of prednisolone.
Question 2 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 loop diuretic that works by increasing urine output, reducing fluid retention, and decreasing edema in patients with heart failure.
Therefore, if the medication is effective, the nurse should expect to see a reduction in peripheral edema as a result of the decreased fluid volume in the body.
Choices A, C, and D are incorrect because an increase in potassium levels, a decrease in cardiac output, and an increase in venous pressure are not expected outcomes of furosemide therapy and would actually indicate an ineffective treatment or potential complications.
Question 3 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Facial twitching. Facial twitching may indicate a neurological complication like a stroke in a child with sickle cell anemia, which requires immediate medical attention to prevent further complications. Kyphosis (
A) is a spinal curvature that is common in sickle cell anemia but does not require immediate attention. Constipation (
B) and enuresis (
C) are common issues in children with sickle cell anemia but do not pose immediate risks.
Therefore, they can be addressed by the nurse without the need for urgent reporting to the provider.
Question 4 of 5
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: A
Rationale: The correct answer is A: Oral electrolyte solution. This is the best choice for an infant with acute diarrhea to prevent dehydration due to fluid loss. Oral electrolyte solution helps replenish lost fluids and electrolytes, maintaining hydration. Applesauce, white grape juice, and chicken soup are not recommended for infants with acute diarrhea as they may exacerbate symptoms or do not provide the necessary hydration and electrolyte balance. It is crucial to choose a solution specifically designed for infants to ensure proper hydration and recovery.
Question 5 of 5
A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?
Correct Answer: B
Rationale:
Correct
Answer: B - Provide a pacifier coated with an oral sucrose solution prior to the injections.
Rationale: Providing a pacifier coated with an oral sucrose solution helps to reduce pain perception and can soothe the infant during the immunization process. The sweet taste of sucrose triggers the infant's natural pain-relieving mechanisms, leading to decreased discomfort.
Summary of other choices:
A: Injecting the immunizations into the deltoid muscle may cause more pain and discomfort to the infant as this area is more sensitive.
C: Using a 20-gauge needle may increase pain perception due to its larger size, which is not ideal for atraumatic care.
D: Applying EMLA cream may be effective for pain relief, but it is not as quick-acting as providing oral sucrose solution before the injections.