ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect? Select all that apply.
Correct Answer: A,D,E
Rationale: The correct findings to expect in a school-age child with heart failure are Cyanosis (
A), Dyspnea (
D), and Tachycardia (E). Cyanosis occurs due to poor oxygenation, Dyspnea is a common symptom of heart failure, and Tachycardia is the body's compensatory response to the decreased cardiac output. Weight loss (
B) is less likely as heart failure often causes fluid retention and weight gain. Bounding peripheral pulses (
C) are more indicative of conditions like hypertension or hyperthyroidism rather than heart failure.
Therefore, A, D, and E are the most relevant findings in this scenario.
Question 2 of 5
A nurse is providing teaching to the parent of a school-age child who has a maintenance prescription for prednisone following an acute asthma attack. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "My child might experience mood swings." This statement indicates an understanding of the side effects of prednisone, which can include mood swings due to its impact on hormone levels. Mood swings are a common side effect of corticosteroids like prednisone.
Incorrect choices:
B: Taking the child for a weekly blood test is unnecessary for maintenance prednisone therapy.
C: Withholding medication before physical activity can be dangerous and is not recommended for maintenance therapy.
D: Prednisone can cause increased appetite rather than decreased appetite in some individuals.
In summary, understanding the potential side effects of prednisone, such as mood swings, is crucial for the parent to ensure proper monitoring and management of their child's health.
Question 3 of 5
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax. Which of the following oils should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Lavender. Lavender oil is well-known for its calming and relaxing properties, making it ideal for helping children relax. It has been shown to reduce anxiety and improve sleep quality. Lavender oil is gentle and safe for children when used properly. Eucalyptus (
B) and Tea tree (
D) oils are not recommended for children due to potential toxicity. Jasmine (
C) is not typically used for relaxation purposes in children.
Question 4 of 5
A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up-to-date with the current schedule. Which of the following immunizations should the nurse plan to administer? Select all that apply.
Correct Answer: A,B
Rationale: The correct answer is A and B. At 12 months, the recommended immunizations are MMR and VAR. MMR protects against measles, mumps, and rubella, which are highly contagious diseases. VAR protects against chickenpox (varicella), preventing severe complications.
Choice C, Rotavirus, is typically given earlier at 2, 4, and 6 months.
Choices D and E are not recommended at 12 months; Herpes zoster is for older individuals, and HPV4 is typically given around age 11-12.
Question 5 of 5
A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Observe the child's throat with a flashlight. This is the first action the nurse should take because frequent throat clearing post-tonsillectomy could indicate bleeding. By observing the child's throat with a flashlight, the nurse can assess for signs of bleeding such as fresh blood or increased secretions. This immediate assessment is crucial for timely intervention if bleeding is suspected. Giving the child water (
B) may be contraindicated if there is active bleeding. Administering an analgesic (
C) or offering an ice collar (
D) should not be the priority when assessing for potential bleeding.