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: The correct answer is D: Administer the next dose as prescribed. It is important to maintain therapeutic levels of digoxin in the infant's system to manage heart failure. Vomiting after administration does not necessarily mean the medication was not absorbed. Skipping a dose may lead to suboptimal treatment. Mixing with formula (
A) may dilute the medication. Giving an antiemetic (
B) may not address the cause of vomiting. Increasing fluid intake (
C) may not prevent vomiting.
Question 2 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:
Correct
Answer: A. "I will ensure that my child is tested for tuberculosis every year."
Rationale: This statement shows understanding as children with HIV are at increased risk for tuberculosis. Regular testing is essential for early detection and treatment, preventing complications.
Summary of other choices:
B. Incorrect. Risk of transmission doesn't decrease after 2 weeks; consistent adherence to medication is crucial.
C. Incorrect. Doubling medications without healthcare provider's guidance can be harmful.
D. Incorrect. Immunizations are vital for children with HIV and should not be repeated in remission.
Question 3 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "You can choose which leg you get your medicine in." This statement empowers the child by giving them a sense of control over the situation, which can help alleviate anxiety and fear associated with the injection. By allowing the child to choose the leg, it helps build trust and cooperation.
A: Offering a prize for not crying may encourage the child to suppress their emotions rather than addressing them.
B: This statement provides false reassurance and does not prepare the child for the sensation of the injection.
C: While minimizing the sensation is important, this statement does not address the child's autonomy or control.
In summary, choice D is correct as it promotes autonomy and reduces anxiety, while the other choices do not address the child's emotional needs or provide a sense of control.
Question 4 of 5
A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Rounded abdomen. In necrotizing enterocolitis, the infant may present with abdominal distension due to gas accumulation in the intestine. This distension can lead to a rounded appearance of the abdomen. Vomiting (
A) is less common in necrotizing enterocolitis. Hypertension (
B) is not a typical finding in this condition; in fact, hypotension is more common due to sepsis. Tachypnea (
D) may occur due to respiratory distress associated with the condition, but it is not a defining characteristic.
Question 5 of 5
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. Varicella vaccine is typically given to children around 12-15 months of age, and a second dose is recommended at around 4-6 years. Since the child is 5 years old and up-to-date with the immunization schedule, the nurse should plan to administer the second dose of the varicella vaccine to ensure continued protection against chickenpox.
Choice A (Rotavirus) is usually given in infancy, so it is not needed at this age.
Choice C (Haemophilus influenzae type b) is typically administered in infancy and early childhood.
Choice D (Hepatitis
B) is usually given shortly after birth and during early childhood. The other choices are not relevant in this scenario.