ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
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: A
Rationale: A. Vomiting can lead to decreased absorption of digoxin, potentially resulting in subtherapeutic levels and inadequate therapeutic effect. The plan of care should be revised to address the vomiting and consider alternative routes of administration or doses. B. A digoxin level within the therapeutic range indicates adequate drug absorption and effectiveness. C. An apical pulse of 100/min is within the expected range for toddlers and does not necessarily require a revision of the plan of care related to digoxin therapy. D. A potassium level within the normal range is desirable and does not necessarily require a revision of the plan of care related to digoxin therapy.
Question 2 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.
Question 3 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 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.
Extract:
Nurses' Notes: The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis. Medication Administration Record: Diphenhydramine 10 mg PO 4 times per day, Pimecrolimus 1% cream apply to skin lesions daily. Assessment: Child is alert and responsive, Respiratory rate even and nonlabored at rate of 24/min. No adventitious sounds auscultated. Heart rate 108/min, Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities.
Question 5 of 5
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.
Correct Answer: A,B,D,F,G
Rationale: A. Cutting and filing the child's fingernails frequently can help prevent excessive scratching and further damage to the skin. B. Using a mild detergent reduces the risk of skin irritation and exacerbation of atopic dermatitis. C. Pimecrolimus cream should be applied thinly, not in a thick layer, to the affected areas to avoid potential side effects. D. Atopic dermatitis tends to have periodic flare-ups, so it's important to inform the guardian about this aspect of the condition. E. Atopic dermatitis itself is not contagious, although the child may be prone to skin infections if lesions are present. F. Applying gloves to the child's hands can prevent scratching and further skin damage. G. Emollients help to moisturize the skin and improve its barrier function, which is important in managing atopic dermatitis.