ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A. Mixing digoxin with formula is not recommended, as it may affect the medication's absorption and effectiveness. It should be administered separately and as prescribed. B. Giving an antiemetic may be considered if vomiting persists and is severe, but it is not the initial action. The nurse should first ensure the infant is stable and then administer the next dose of digoxin as prescribed. C. Increasing fluid intake may help prevent dehydration if vomiting persists, but it does not address the administration of the next dose of digoxin. D. Administering the next dose of digoxin as prescribed is appropriate, as long as the infant is stable and vomiting has ceased. The nurse should monitor for signs of toxicity and notify the healthcare provider if vomiting continues or if there are concerns about absorption.
Question 2 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: B
Rationale: A. Increased capillary refill is not typically associated with hypoglycemia but may indicate poor peripheral circulation. B. Shakiness is a common manifestation of hypoglycemia due to the release of epinephrine in response to low blood sugar levels. C. Thirst is more commonly associated with hyperglycemia (high blood sugar levels) rather than hypoglycemia. D. Decreased appetite may occur in hypoglycemia, but it is not as specific a symptom as shakiness.
Question 3 of 5
A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: C,D,E
Rationale: A. Inspecting the epiglottis is contraindicated in suspected cases of epiglottitis as it may trigger laryngospasm and compromise the airway. B. Obtaining a throat culture may be indicated to confirm the presence of Haemophilus influenzae type B but is not an immediate priority in the management of epiglottitis. C. Monitoring oxygen saturation is crucial as respiratory distress and hypoxia are common complications of epiglottitis. D. Beginning droplet precautions is important to prevent the spread of the infectious agent to others. E. Initiating IV access is necessary for administering fluids and medications, as well as for potential airway management in severe cases of epiglottitis.
Question 4 of 5
A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: A. Instructing the parent to discontinue prednisone if gastrointestinal upset occurs is not appropriate, as abrupt discontinuation of corticosteroids can lead to adrenal insufficiency. Monitoring for and managing gastrointestinal upset while continuing the medication as prescribed is more appropriate. B. Limiting intake of potassium-rich foods is not specifically indicated with prednisone therapy. Prednisone may increase the risk of potassium loss, but dietary adjustments should be made under medical guidance. C. Prednisone can affect growth in children, but it is more commonly associated with slowing growth rather than stimulating a growth spurt. This statement is misleading and not accurate. D. Monitoring the child for indications of infection is crucial when taking prednisone, as corticosteroids can suppress the immune system and increase susceptibility to infections. This statement addresses an important aspect of medication safety and is the priority in discharge teaching.
Question 5 of 5
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
Correct Answer: C
Rationale: A. Examining the child for skin irritation at the cast edges is important to prevent complications but may not be the priority compared to monitoring for signs of impaired circulation or compartment syndrome. B. Restricting the child's strenuous activities for 3 days is important for preventing damage to the cast, but it is not as urgent as monitoring for potential complications. C. Monitoring for pallor or swelling in the child's affected hand is the priority to assess for impaired circulation or compartment syndrome, which are potential complications of cast application. D. Using a hair dryer on a cool setting to relieve itching is a helpful tip but is not as urgent as monitoring for signs of impaired circulation.