ATI RN
ATI Nur307 Pediatrics Quiz 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: B
Rationale: Monitoring the newborn's temperature every 2 hours ensures phototherapy is not causing overheating or hypothermia.
Extract:
History and Physical: School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamin A, D, E, and K. Barrel-shaped chest, Clubbing of the fingers bilaterally, Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough. Vital Signs: Temperature 38.4° C (101.1° F), Heart rate 100/min, Respiratory rate 40/min, Blood pressure 100/57 mm Hg. Laboratory Results: Sputum culture positive for Pseudomonas aeruginosa, Stool analysis positive for presence of fat and enzymes, Chest x-ray indicates obstructive emphysema, WBC count 20,000/mm3 (5,000 to 10,000/mm3).
Question 2 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
Correct Answer: B,D,E
Rationale: B: Dornase alfa is used to improve respiratory function by reducing mucus viscosity in cystic fibrosis. D: Water-soluble forms of vitamins A, D, E, and K are prescribed to address deficiencies due to malabsorption. E: Pancreatic lipase is necessary for pancreatic insufficiency to improve nutrient digestion and absorption.
Extract:
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: A
Rationale: Prednisolone, a corticosteroid, can impair immune function and delay wound healing, requiring monitoring for signs of infection or delayed healing.
Question 4 of 5
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
Correct Answer: C
Rationale: Frequent swallowing after a tonsillectomy can indicate bleeding, a serious complication requiring immediate attention.
Question 5 of 5
A nurse is preparing to administer the influenza vaccine to a toddler. The prescription is written to administer the influenza vaccine subcutaneously. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Verifying a gelatin allergy is crucial, as some influenza vaccines contain gelatin as a stabilizer.