ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Monitor the newborn's temperature every 2 hr. Hyperbilirubinemia can lead to increased risk of hypothermia during phototherapy. Monitoring temperature every 2 hours is crucial to detect any signs of hypothermia early and prevent complications. Checking the newborn's eyes every 8 hours (
A) is not directly related to managing hyperbilirubinemia or phototherapy. Placing mittens on the newborn's hands (
B) is not necessary for this situation. Applying lotion to the newborn's skin (
D) is not indicated and can interfere with phototherapy.
Question 2 of 5
A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A. "I will ensure that my child is tested for tuberculosis every year."
Rationale: This statement shows understanding as children with HIV are at increased risk for tuberculosis. Regular testing is essential for early detection and treatment, preventing complications.
Summary of other choices:
B. Incorrect. Risk of transmission doesn't decrease after 2 weeks; consistent adherence to medication is crucial.
C. Incorrect. Doubling medications without healthcare provider's guidance can be harmful.
D. Incorrect. Immunizations are vital for children with HIV and should not be repeated in remission.
Question 3 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 4 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: a toddler who has seasonal influenza. Droplet precautions are used for illnesses transmitted through respiratory secretions, such as influenza. Seasonal influenza is a contagious respiratory illness spread through droplets when an infected person coughs or sneezes. This precaution includes wearing a mask within close proximity to the child to prevent the spread of the virus.
Incorrect choices:
A: Pediculosis capitis (head lice) is spread through direct head-to-head contact, not respiratory secretions.
B: Viral conjunctivitis is an eye infection spread through direct contact with discharge from the eye, not respiratory droplets.
D: Hepatitis A is primarily spread through the fecal-oral route, not respiratory secretions.
Question 5 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 because infants with acute diarrhea are at risk of dehydration due to fluid loss. Oral electrolyte solution helps replace lost fluids and electrolytes, preventing dehydration. Applesauce, white grape juice, and chicken soup are not recommended for infants with acute diarrhea as they can worsen diarrhea symptoms or lack the necessary electrolytes to rehydrate the infant. It is crucial to prioritize rehydration with oral electrolyte solution in managing acute diarrhea in infants.