ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: A normal temperature does not specifically indicate the effectiveness of treatment for acute poststreptococcal glomerulonephritis. Pain with voiding is not typically associated with this condition and therefore does not indicate treatment effectiveness. Clear urine indicates that the kidneys are effectively filtering waste and fluid, suggesting treatment effectiveness. Odorless urine is a normal characteristic and does not specifically indicate treatment effectiveness.
Question 2 of 5
A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: This option provides a suitable alternative for obtaining calcium without consuming milk, which is appropriate for someone who is lactose intolerant. While plain milk may be better tolerated than chocolate milk due to fewer additives, it's not a suitable option for someone who is lactose intolerant. Flavored yogurt may contain lactose and could potentially worsen symptoms of lactose intolerance. Drinking milk on an empty stomach doesn't address the issue of lactose intolerance and may exacerbate symptoms.
Question 3 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: A child with HIV is at increased risk of developing tuberculosis and should be screened annually. This is incorrect because the risk of transmission does not depend on the duration of zidovudine therapy, but on the viral load and the exposure to body fluids. Doubling medications is not a standard practice in HIV management and may lead to medication errors or adverse effects. Childhood immunizations are important for children with HIV, but they may need to be adjusted based on the child's immune status and treatment regimen, not just during remission.
Question 4 of 5
A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Packed red blood cells should typically be infused within 4 hours to reduce the risk of bacterial contamination and ensure potency. Dextrose 5% in water is not typically infused with packed RBCs; the focus is on administering blood products as prescribed. Blood products are typically stored under controlled conditions and transfused promptly after verification and compatibility checks. Filtered IV tubing is often used for blood transfusions to minimize the risk of air embolism and particle infusion.
Question 5 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: D
Rationale: Stevens-Johnson syndrome is a severe, rare, and potentially life-threatening reaction that can occur as a hypersensitivity reaction to certain medications. However, it is not typically associated with morphine use. Morphine is more commonly associated with hypotension rather than hypertension. Morphine use is not typically associated with prolonged wound healing. Morphine is a potent opioid analgesic that can cause respiratory depression, leading to bradypnea (slow breathing) or even respiratory arrest.