ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Correct Answer: A
Rationale: The correct answer is A: Dietitian. The nurse should initiate a referral to a dietitian for a child with cystic fibrosis to ensure proper nutrition and weight management. Cystic fibrosis can affect the body's ability to absorb nutrients, so a dietitian can help develop a specialized diet plan. Occupational therapist (
B) focuses on daily activities, physical therapist (
D) focuses on mobility, and speech-language pathologist (
C) focuses on communication and swallowing - not directly related to cystic fibrosis nutritional needs.
Question 2 of 5
A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Ataxia. Inhalation of gasoline can lead to central nervous system depression, resulting in ataxia, which is a lack of muscle coordination. Gasoline does not typically cause hypothermia, hyperactive reflexes, or pinpoint pupils. Hypothermia is more commonly associated with cold exposure, hyperactive reflexes are not a typical finding in gasoline inhalation, and pinpoint pupils are more indicative of opioid overdose.
Therefore, the nurse should expect ataxia as a key finding in an adolescent who has inhaled gasoline.
Question 3 of 5
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: C
Rationale: The correct answer is C: RBC count 5/mm3 (4 to 5.5/mm3). In patients receiving treatment for leukemia, a decrease in the RBC count is expected due to the suppression of bone marrow activity by chemotherapy. A decrease in the RBC count can indicate that the treatment is working by targeting and reducing the abnormal leukemic cells. This is a positive therapeutic effect as it indicates that the treatment is effectively targeting the cancer cells.
A: Hemoglobin 6.8 g/dL - Low hemoglobin indicates anemia, which is a common side effect of leukemia treatment but does not specifically indicate therapeutic effect.
B: Platelet count 98,000/mm3 - Low platelet count is common in leukemia due to bone marrow suppression, but it does not directly indicate therapeutic effect.
D: WBC count 15,000/mm3 - Elevated WBC count is expected in leukemia and may not reflect therapeutic effect.
Therefore, the correct answer is C as
Question 4 of 5
A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hyperpyrexia. Acetylsalicylic acid poisoning can lead to metabolic acidosis, which can cause hyperpyrexia (extremely high fever). This is due to the toxic effects on the central nervous system. Neck vein distention (
A) is not typically associated with acetylsalicylic acid poisoning. Jaundice (
B) is more commonly seen in liver toxicity. Polyuria (
C) is not a typical symptom of acetylsalicylic acid poisoning. In summary, hyperpyrexia is the most likely manifestation of acute acetylsalicylic acid poisoning in a preschool-age child, making it the correct answer.
Question 5 of 5
A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will ensure that my child is tested for tuberculosis every year." This statement indicates an understanding of the teaching because children with HIV are at higher risk for tuberculosis, and regular testing is important for early detection and treatment.
Option B is incorrect because the risk of transmission does not decrease after only 2 weeks of zidovudine treatment. Option C is incorrect as doubling medications without medical advice can be harmful. Option D is incorrect because childhood immunizations are not repeated once in remission.