ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 4
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: A
Rationale: The correct answer is A. If a toddler receiving digoxin therapy has vomited 2 times in the last hour, it can lead to decreased absorption of digoxin and potentially lower therapeutic levels in the bloodstream. This situation requires a revision of the plan of care to ensure the toddler receives the necessary dose of digoxin.
Incorrect choices:
B: A digoxin level of 1.2 ng/mL falls within the therapeutic range of 0.8-2 ng/mL, so no immediate revision of the plan of care is needed.
C: An apical pulse of 100/min could be within the expected range for a toddler, especially when receiving digoxin therapy. Monitoring is important, but it may not require an immediate revision of the plan of care.
D: A potassium level of 4.0 mEq/L is within the normal range, so no revision of the plan of care is necessary based on this value.
Question 2 of 4
A nurse is preparing to administer immunizations to a 5-year-old child who is up-to-date with the current immunization schedule. Which of the following immunizations should the nurse plan to administer?
Correct Answer: B
Rationale: The correct answer is B: Varicella. The Varicella vaccine is typically administered to children at 12-15 months and again at 4-6 years to ensure immunity against chickenpox. Since the child is 5 years old, the nurse should plan to administer the Varicella vaccine to maintain protection. Rotavirus is usually given to infants, so it is not needed for a 5-year-old who is up-to-date. Haemophilus influenzae type b vaccine is generally completed by age 5, and Hepatitis B vaccination is typically completed in infancy.
Therefore, the Varicella vaccine is the appropriate choice for the 5-year-old child in this scenario.
Question 3 of 4
A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action is to apply pressure just above the insertion site. This is because the priority is to control the bleeding. Applying pressure helps to stop the bleeding and prevent further blood loss. Monitoring the pulse distal to the insertion site (choice
B) can be done after controlling the bleeding. Obtaining vital signs (choice
C) is important but not the first priority in this situation. Reinforcing the dressing (choice
D) can be done after the bleeding is under control. It is crucial to address the immediate issue of bleeding first before moving on to other assessments or interventions.
Extract:
Exhibit 2 Nurses' Notes 0730: Child presents to the emergency department (ED). Guardians report the child woke up coughing with a low-grade fever. Child appears alert and restless in guardian's arms. Respirations easy, no cough noted. 0800: Child became agitated. Hoarse cry noted with audible inspiratory stridor. Barking, nonproductive cough present.
Question 4 of 4
For each of the following findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than one disease process.
| Finding | Acute Laryngotracheobronchitis | pneumonia |
|---|---|---|
| Irritability | ||
| Temperature | ||
| Cough findings at 0800 | ||
| Stridor |
Correct Answer: A,B,C,D
Rationale: The correct answer is .
A: Irritability is a common symptom seen in both acute laryngotracheobronchitis and pneumonia due to the discomfort caused by respiratory issues.
B: Temperature is an important indicator in differentiating between the two conditions as pneumonia typically presents with higher fever compared to laryngotracheobronchitis.
C: Cough findings at 0800 can be present in both conditions, but the nature of the cough and accompanying symptoms can help differentiate between them.
D: Stridor is a key clinical finding in acute laryngotracheobronchitis due to upper airway inflammation, whereas it is not a typical finding in pneumonia.
Incorrect choices:
E, F, G: These choices are left blank as they are not relevant to distinguishing between acute laryngotracheobronchitis and pneumonia based on the given parameters.
Extract:
Question 5 of 4
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: B
Rationale: The correct answer is B: Shakiness. In hypoglycemia, the body's blood sugar level drops too low, leading to symptoms like shakiness due to the release of stress hormones like adrenaline. Increased capillary refill (
A) is not associated with hypoglycemia. Thirst (
C) is more commonly seen in hyperglycemia. Decreased appetite (
D) is not a typical manifestation of hypoglycemia in a child with diabetes mellitus.