ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 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. Temperature within normal range may indicate the absence of infection, but it does not specifically indicate effectiveness of treatment for glomerulonephritis. B. Absence of pain with voiding is a positive sign but does not directly indicate the effectiveness of treatment for glomerulonephritis. C. Clear urine indicates resolution of hematuria, a common symptom of acute poststreptococcal glomerulonephritis, suggesting treatment effectiveness. D. Odorless urine is a general characteristic of urine and does not specifically indicate the effectiveness of treatment for glomerulonephritis.
Question 2 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: A. Instructing the parent to discontinue prednisone if gastrointestinal upset occurs is not appropriate, as abrupt discontinuation of corticosteroids can lead to adrenal insufficiency. Monitoring for and managing gastrointestinal upset while continuing the medication as prescribed is more appropriate. B. Limiting intake of potassium-rich foods is not specifically indicated with prednisone therapy. Prednisone may increase the risk of potassium loss, but dietary adjustments should be made under medical guidance. C. Prednisone can affect growth in children, but it is more commonly associated with slowing growth rather than stimulating a growth spurt. This statement is misleading and not accurate. D. Monitoring the child for indications of infection is crucial when taking prednisone, as corticosteroids can suppress the immune system and increase susceptibility to infections. This statement addresses an important aspect of medication safety and is the priority in discharge teaching.
Question 3 of 5
A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?
Correct Answer: D
Rationale: A. Providing a warm blanket can help alleviate discomfort associated with fever and chills, which are common symptoms of varicella, but it is not the priority intervention. B. Koplik spots are seen in measles, not varicella. C. Aspirin administration is contraindicated in varicella due to the risk of Reye's syndrome. Acetaminophen or ibuprofen may be used for fever. D. Varicella is spread through respiratory droplets and direct contact, so airborne precautions are necessary to prevent transmission.
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: A. Infusing each unit of blood within 4 hours is a standard practice to minimize the risk of bacterial contamination and ensure the effectiveness of the transfusion. This intervention helps maintain the integrity and safety of the blood product. B. Infusing dextrose 5% in water during the infusion of packed RBCs is unnecessary and not recommended as it can lead to hemolysis of the blood cells and potential adverse reactions. C. Storing the second unit of blood at room temperature for up to 2 hours is incorrect practice. Blood products should be stored according to specific guidelines to maintain their integrity and safety. D. Administering RBCs using non-filtered IV tubing is inappropriate as it can lead to the infusion of clots or debris, which can be harmful to the patient. The use of filtered IV tubing is recommended to ensure the safety of the transfusion.
Question 5 of 5
A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: A. Assessing both eyes together first, then separately, is not the standard method; typically, each eye is tested separately first to detect differences. B. Positioning the child 4.6 meters (15 feet) from the chart is incorrect; the standard distance for a Snellen chart is 20 feet (6 meters), though a 10-foot chart may be used for young children. C. Testing the child without glasses before testing with glasses may be appropriate but is not specifically related to the method of visual acuity assessment. D. Using a tumbling E chart is appropriate for assessing visual acuity in young children who may not recognize letters. The tumbling E chart uses a series of 'E' shapes facing different directions, allowing the child to indicate the direction the 'E' is facing, thus assessing visual acuity.