ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Toddlers receiving digoxin therapy
Question 1 of 5
A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: D
Rationale: The correct answer is D. Vomiting can lead to reduced absorption of digoxin, affecting its therapeutic effect. This can result in suboptimal treatment and potential toxicity. Monitoring for vomiting is crucial when administering digoxin.
Choices A, B, and C indicate normal findings within the expected range for a toddler receiving digoxin therapy, so no revision is needed for those.
Extract:
School-age child receiving prednisolone
Question 2 of 5
A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Prolonged wound healing. Prednisolone is a corticosteroid medication that can suppress the immune system, leading to delayed wound healing. The nurse should monitor for this adverse effect by assessing the child's wounds regularly for signs of slow healing.
Choices B, C, and D are incorrect because hypotension, Stevens-Johnson syndrome, and renal failure are not commonly associated with prednisolone use in school-age children. It is important for the nurse to focus on monitoring for the most relevant adverse effect to ensure the child's safety and well-being.
Extract:
10-month-old infant having difficulty eating, fed goat milk
Question 3 of 5
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale:
Correct
Answer: B - Offer commercially prepared formula.
Rationale: Commercially prepared formula is specifically formulated to meet the nutritional needs of infants. Goat milk lacks essential nutrients such as folate and vitamin B12, which are crucial for infant growth and development. Switching to soy milk (choice
A) is not recommended as it may also lack essential nutrients and can cause allergies. Warming goat milk (choice
C) does not address the nutritional deficiencies. Reinitiating breastfeeding (choice
D) may not be feasible if the mother is unable to do so. Commercially prepared formula is the best option to ensure the infant receives proper nutrition.
Extract:
7-year-old child with diabetes mellitus
Question 4 of 5
A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: A
Rationale: The correct answer is A: Shakiness. Hypoglycemia occurs when blood sugar levels drop too low in individuals with diabetes mellitus. Shakiness is a common symptom due to the body's response to low glucose levels, triggering an increase in adrenaline. Decreased appetite and thirst are more indicative of hyperglycemia, where blood sugar levels are high. Increased capillary refill is not a typical manifestation of hypoglycemia but may indicate poor circulation or dehydration.
Extract:
Adolescent following scoliosis repair with spinal instrumentation
Question 5 of 5
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Ensure two nurses logroll the adolescent every 2 hr. This is important post-scoliosis repair with spinal instrumentation to prevent injury to the surgical site. Logrolling helps maintain proper alignment of the spine and reduces stress on the incision site. Two nurses are needed to ensure proper technique and to prevent strain on one nurse.
Choice B, maintaining the head of the bed at a 30° angle, is incorrect because it is not a priority action post-surgery and may not directly impact the surgical site.
Choice C, assisting the adolescent to ambulate 12 hr following surgery, is incorrect because early ambulation is beneficial but may not be appropriate immediately post-surgery.
Choice D, offering sips of water 4 hr following surgery, is incorrect because oral intake is typically restricted immediately after surgery to prevent complications.