ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: A
Rationale: The correct order is: A, B, C, D. The nurse should report a high creatinine level (1.4 mg/dL) as it indicates possible kidney damage from gentamicin, which is nephrotoxic. A low creatinine level (0.3 mg/dL) is within the normal range and not concerning. BUN levels are not as specific for kidney damage as creatinine, so a slightly high (12 mg/dL) or low (6 mg/dL) BUN level may not be as urgent to report.
Extract:
Cerebrospinal fluid: Pressure: 22 cm H2O (less than 20 cm H2O), Color: Cloudy (clear or colorless), Blood: None (none), Cells RBC: 0 (0), WBC: 36 cells/mcL (0 to 30 cells/mcL), Protein: 92 mg/dL (up to 70 mg/dL), Glucose: 36 mg/dL (50 to 75 mg/dL), Serum glucose: 64 mg/dL (60 to 100 mg/dL).
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse to take is to administer ceftriaxone (choice
A). This is the correct answer because ceftriaxone is an antibiotic commonly used to treat bacterial infections, especially in cases of suspected sepsis or meningitis. Administering it promptly can help prevent the spread of infection and improve the patient's condition.
The other choices are incorrect because:
B: Administering a pneumococcal conjugate vaccine is not the immediate priority in this scenario where treatment for an existing infection is needed.
C: Initiation of serum glucose testing every 1 hr is not indicated without further context or rationale provided in the question.
D: Initiating neutropenic precautions is not necessary based on the information provided and is not a direct action to address the immediate issue at hand.
Extract:
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 3 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: A,C,E
Rationale:
Correct Answer: A, C, E
Rationale:
A: Water-soluble vitamins are commonly prescribed or included in a child's home medication list for nutritional support.
C: Dornase alfa is a medication used to help clear mucus in patients with cystic fibrosis, so it would be expected in the child's medication list if they have this condition.
E: Pancreatic lipase is prescribed for children with pancreatic insufficiency to aid in digestion.
Summary of Incorrect
Choices:
B: Acetaminophen is a common over-the-counter pain reliever and fever reducer but may not always be part of a child's regular medication list.
D: Meperidine is a narcotic pain reliever that is not typically prescribed for children due to its potential side effects and risks.
Overall, choices B and D are less likely to be part of a child's routine medication list compared to choices A, C, and E, which are more common in pediatric cases.
Extract:
Question 4 of 5
A nurse is providing teaching to a 15-year-old adolescent about a medication used to treat a sexually transmitted infection. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D because asking how the client prefers to learn new information is important when educating adolescents. This approach promotes autonomy and engagement in their own healthcare. By understanding the client's preferred learning style, the nurse can tailor the teaching to be more effective and ensure better understanding and adherence to medication instructions.
Choice A is incorrect because the nurse should be the primary source of information for the adolescent regarding their medication, not the pharmacy.
Choice B is inappropriate as adolescents have the right to privacy and should be involved in their own healthcare decisions.
Choice C is not ideal as it undermines the adolescent's autonomy and may not be effective in promoting learning.
Question 5 of 5
A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Apply bactericidal ointment to lesions. Impetigo is a bacterial skin infection, so applying a bactericidal ointment helps kill the bacteria and promote healing. This instruction directly targets the infection.
Incorrect choices:
B: Administering acyclovir is for viral infections, not bacterial impetigo.
C: Soaking hairbrushes in boiling water is more for lice infestation, not impetigo.
D: Sealing soft toys is unnecessary for impetigo transmission since it is primarily spread through direct contact.