ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: A. Kyphosis, an excessive outward curvature of the spine, may be a complication of sickle cell disease but is not typically considered a priority over acute neurological symptoms. B. Constipation is a common symptom in sickle cell disease due to vaso-occlusive events, but it is not an acute concern unless severe or accompanied by other symptoms. C. Enuresis, or bedwetting, may occur in children with sickle cell disease due to changes in renal function but is not typically considered a priority over acute neurological symptoms. D. Facial twitching could be indicative of a seizure or other neurological complication, which is a serious concern requiring immediate attention, especially in a child with sickle cell disease who may be at increased risk for neurological complications due to the increased risk of stroke.
Therefore, it is the priority finding to report to the provider.
Question 2 of 5
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A. Mixing digoxin with formula is not recommended, as it may affect the medication's absorption and effectiveness. It should be administered separately and as prescribed. B. Giving an antiemetic may be considered if vomiting persists and is severe, but it is not the initial action. The nurse should first ensure the infant is stable and then administer the next dose of digoxin as prescribed. C. Increasing fluid intake may help prevent dehydration if vomiting persists, but it does not address the administration of the next dose of digoxin. D. Administering the next dose of digoxin as prescribed is appropriate, as long as the infant is stable and vomiting has ceased. The nurse should monitor for signs of toxicity and notify the healthcare provider if vomiting continues or if there are concerns about absorption.
Question 3 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: A. Riding the bicycle against the flow of traffic increases the risk of collisions with oncoming vehicles. Children should ride with the flow of traffic to be more predictable and visible to drivers. B. Keeping the bicycle at least 3 feet from the curb while riding in the street is excessive and may place the child too far into traffic; a safer distance is closer to 1-2 feet to avoid hazards like parked cars. C. Walking the bicycle through intersections allows the child to safely navigate intersections as pedestrians, reducing the risk of accidents with vehicles. D. The height of the child's feet when seated on the bicycle being 3 to 6 inches off the ground is unsafe; their feet should be able to touch the ground for balance and control while stopping and starting.
Question 4 of 5
A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?
Correct Answer: C
Rationale: A. Pediculosis capitis (head lice) does not require droplet precautions. B. Viral conjunctivitis is typically transmitted through contact precautions rather than droplet precautions. C. Seasonal influenza is transmitted via respiratory droplets, necessitating droplet precautions to prevent transmission. D. Hepatitis A is transmitted via the fecal-oral route and does not require droplet precautions.
Question 5 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.