ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: B
Rationale: The correct answer is B: Bedside computer keyboard. The keyboard is a common source of healthcare-associated infections due to frequent use and potential contamination from various sources. Keyboards are often touched by multiple healthcare providers without proper cleaning, leading to the spread of pathogens. Unopened bottles of formula (
A) are typically sterile until opened. Disposable diapers (
C) are not a common source of infection if disposed of properly. Protective plastic gowns (
D) are used to prevent contamination rather than being a source of infection.
Question 2 of 5
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, 'I don't understand why they need to do this procedure.' Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D - Notify the provider who is scheduled to perform the procedure.
Rationale:
1. The provider performing the procedure is best suited to explain the necessity and details of the cardiac catheterization to address the guardian's concerns.
2. The provider can offer additional information, clarify any doubts, and ensure that the guardian makes an informed decision.
3. Involving the provider maintains a patient-centered approach and ensures comprehensive understanding before proceeding with the procedure.
Summary of Other
Choices:
A: Requesting assistance from the anesthesiologist may not directly address the guardian's concerns about the procedure.
B: Explaining the procedure is essential, but the provider performing the procedure is the most appropriate person to provide detailed information.
C: Witnessing the adolescent's signature is important but does not address the guardian's lack of understanding.
Question 3 of 5
A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Monitor your child for indications of infection. Prednisone is an immunosuppressant medication that can increase the risk of infections. Monitoring for signs of infection such as fever, sore throat, or cough is crucial to prevent complications.
Choice A is incorrect because abruptly stopping prednisone can lead to withdrawal symptoms.
Choice B is incorrect as prednisone can cause low potassium levels, so limiting potassium-rich foods is not necessary.
Choice C is incorrect as prednisone may affect growth but not necessarily stimulate a growth spurt.
Question 4 of 5
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: B,C,D
Rationale: The correct laboratory tests to confirm rheumatic fever are CRP, ESR, and ASO titer.
1. CRP is a marker of inflammation and is elevated in rheumatic fever.
2. ESR measures the rate at which red blood cells settle in a tube of blood and is elevated in inflammatory conditions like rheumatic fever.
3. ASO titer detects antibodies produced in response to a recent streptococcal infection, a common trigger for rheumatic fever.
A: PTT measures blood clotting time and is not specific to rheumatic fever.
E: BUN is a measure of kidney function and is not useful in diagnosing rheumatic fever.
In summary, the correct tests help confirm rheumatic fever by assessing inflammation, immune response, and streptococcal infection.
Question 5 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 information because it can indicate complications such as impaired circulation or compartment syndrome, which require immediate medical attention to prevent permanent damage. Skin irritation at the cast edges (choice
A) can be addressed with padding adjustments but is not as urgent. Restricting strenuous activities (choice
B) is important but not the priority. Using a hair dryer on cool setting to relieve itching (choice
D) can cause burns and should be avoided.