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:
Toddler after orchiopexy procedure
Question 2 of 5
A nurse is providing education to the parents of a toddler who is being discharged after an orchiopexy procedure. Which of the following statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it shows understanding of the post-operative care instructions following an orchiopexy procedure. Restricting straddling activities for 2 weeks helps prevent stress on the surgical area, promoting healing.
Choice B is incorrect as resuming all physical activities too soon can lead to complications.
Choice C is incorrect as the procedure does not eliminate the risk of fertility issues.
Choice D is incorrect because pain medications may be needed post-operatively.
Extract:
Adolescent experiencing a vaso-occlusive crisis with painful joints, fever, and abdominal pain
Question 3 of 5
A nurse is developing a plan of care for an adolescent who is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Initiate IV fluids. During a vaso-occlusive crisis in sickle cell disease, there is a risk of dehydration due to increased red blood cell destruction and decreased blood flow to tissues. IV fluids help to maintain hydration, improve blood flow, and prevent complications. Administering antispasmodics (choice
A) is not typically indicated for vaso-occlusive crisis. Applying ice to joints (choice
B) may provide temporary relief but does not address the underlying issue of dehydration. Assessing for hyperkalemia (choice
D) is important but not the priority intervention in this case.
Extract:
Question 4 of 5
A nurse is providing teaching about injury prevention to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Check clothing for loose buttons. This safety measure is important to prevent choking hazards for the toddler. Loose buttons can easily come off and pose a risk of being swallowed. This action promotes safe clothing practices, reducing the risk of accidental ingestion.
Other choices are incorrect:
A: Providing balloons for play can be dangerous as they pose a choking hazard.
B: Adjusting the water heater temperature to 54° C is too low and can lead to bacterial growth in the water.
C: Placing screens on windows is important for preventing falls but not directly related to injury prevention from clothing hazards.
Extract:
Preschooler with autism spectrum disorder
Question 5 of 5
A nurse is planning care for a preschooler who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Establish a reward system. This intervention is appropriate for a preschooler with autism spectrum disorder as it can help reinforce desired behaviors through positive reinforcement. Rewards can motivate the child to engage in activities and improve social interactions. Holding the child during assessments (
B) may not be suitable as it can cause sensory overload. Maintaining extended eye contact (
C) can be challenging for children with autism and may cause discomfort. Engaging in cooperative play (
D) may also be difficult for a child with autism due to social communication challenges.