ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Child with a prescription to transfuse 2 units of packed RBCs
Question 1 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: B
Rationale: The correct answer is B: Infuse each unit of blood within 4 hr. This is because packed RBCs should be infused within a specific timeframe to reduce the risk of bacterial growth. Infusing each unit within 4 hours helps maintain the integrity of the blood product and decrease the risk of contamination.
Incorrect options:
A: Administering RBCs using non-filtered IV tubing can increase the risk of particulate matter entering the bloodstream.
C: Infusing dextrose 5% in water during the transfusion of packed RBCs is not recommended as it can cause hemolysis.
D: Storing the second unit of blood at room temperature for up to 2 hours is not safe practice as blood products should be stored according to specific guidelines to maintain their integrity.
Extract:
Newborn and a 3-year-old sibling
Question 2 of 5
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Provide a doll for your 3-year-old child to imitate parental behaviors. This option is correct because it helps the child understand and practice caregiving skills they can use with the new sibling. Giving the child a doll allows them to mimic parental behaviors like feeding, changing, and comforting, which can promote a sense of involvement and responsibility.
Incorrect choices:
A: Tell your 3-year-old child that they will now have a new playmate. This choice does not address the child's need for preparation and understanding of the new sibling's arrival.
B: Wait for the newborn to come home before moving your 3-year-old child from the crib. This choice is not relevant to preparing the child for the new sibling and does not address their emotional needs.
D: Prepare your 3-year-old child for a change in all of their routines. This choice is too vague and does not provide specific guidance on how to prepare the child for the new sibling.
Extract:
School-age child with heart failure taking furosemide
Question 3 of 5
A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: B
Rationale: The correct answer is B: A decrease in peripheral edema. Furosemide is a loop diuretic that works by increasing urine output, reducing fluid volume, and decreasing congestion in heart failure patients.
Therefore, a decrease in peripheral edema indicates that the medication is effectively reducing fluid retention and congestion.
Incorrect
Choices:
A: An increase in venous pressure - Furosemide should actually decrease venous pressure by reducing fluid volume.
C: An increase in potassium levels - Furosemide can cause potassium loss, so an increase in potassium levels would be an indication of a potential issue.
D: A decrease in cardiac output - Furosemide should not decrease cardiac output; it should help improve cardiac function by reducing fluid overload.
Extract:
3-year-old child
Question 4 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: A
Rationale: The correct answer is A: "You will only feel a little stick." This statement is appropriate for a 3-year-old child as it is reassuring, concise, and prepares the child for the sensation of the injection without causing unnecessary fear. It uses simple language that a young child can understand and minimizes anxiety.
Choice B is incorrect because it incentivizes the child not to cry, which may create unnecessary pressure and stress for the child.
Choice C is incorrect because it oversimplifies the purpose of the medication and may lead to misconceptions about its effects.
Choice D is incorrect as it gives the child too much control over the situation, which may not be appropriate for a medical procedure.
In summary, choice A is the most appropriate as it is clear, reassuring, and provides necessary information without causing distress.
Extract:
Infant with heart failure who vomited after digoxin
Question 5 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: A
Rationale: The correct answer is A: Administer the next dose as prescribed. In this scenario, the infant vomited after receiving digoxin, which is a common side effect of the medication. However, it does not mean that the dose was not absorbed. Re-administering the dose ensures that the infant receives the necessary medication for heart failure. Mixing the medication with formula (
B) may alter its absorption. Giving an antiemetic (
C) is not necessary unless vomiting persists. Increasing fluid intake (
D) is not directly related to addressing the vomiting after digoxin administration.