ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
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: A
Rationale: A. Infusing each unit of blood within 4 hours is a standard practice to minimize the risk of bacterial contamination and ensure the effectiveness of the transfusion. This intervention helps maintain the integrity and safety of the blood product. B. Infusing dextrose 5% in water during the infusion of packed RBCs is unnecessary and not recommended as it can lead to hemolysis of the blood cells and potential adverse reactions. C. Storing the second unit of blood at room temperature for up to 2 hours is incorrect practice. Blood products should be stored according to specific guidelines to maintain their integrity and safety. D. Administering RBCs using non-filtered IV tubing is inappropriate as it can lead to the infusion of clots or debris, which can be harmful to the patient. The use of filtered IV tubing is recommended to ensure the safety of the transfusion.
Question 2 of 5
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
Correct Answer: D
Rationale: A. Increasing throat pain is expected post-tonsillectomy and can be managed with pain medication. While important to address, it is not the priority in this situation. B. Refusing clear liquids might indicate discomfort or difficulty swallowing, but it is not as immediately concerning as other symptoms. C. Crying often may be due to discomfort or fear but is not as indicative of potential complications as frequent swallowing. D. Frequent swallowing could indicate bleeding, a potential complication post-tonsillectomy, and requires immediate attention to prevent further complications.
Question 3 of 5
A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: A
Rationale: A. Vomiting can lead to decreased absorption of digoxin, potentially resulting in subtherapeutic levels and inadequate therapeutic effect. The plan of care should be revised to address the vomiting and consider alternative routes of administration or doses. B. A digoxin level within the therapeutic range indicates adequate drug absorption and effectiveness. C. An apical pulse of 100/min is within the expected range for toddlers and does not necessarily require a revision of the plan of care related to digoxin therapy. D. A potassium level within the normal range is desirable and does not necessarily require a revision of the plan of care related to digoxin therapy.
Question 4 of 5
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
Correct Answer: D
Rationale: A. The child's throat pain increasing is expected post-tonsillectomy and can be managed with pain medication. While important to address, it is not the priority in this situation. B. The child refusing clear liquids may indicate discomfort or difficulty swallowing, but it is not as immediately concerning as other assessment findings. C. The child crying often may be a response to pain or discomfort but does not indicate a physiological problem requiring immediate attention. D. The child swallowing frequently is a priority finding because it could indicate bleeding, which is a significant complication after tonsillectomy and requires immediate intervention to prevent further complications or deterioration in the child's condition.
Question 5 of 5
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: A
Rationale: A. Oral electrolyte solution helps to prevent dehydration and maintain electrolyte balance in infants with acute diarrhea. B. Applesauce may worsen diarrhea due to its high fiber content and should be avoided initially. C. White grape juice may worsen diarrhea due to its high sugar content and lack of electrolytes. D. Chicken soup may not provide the necessary electrolytes and may contain ingredients that are difficult for an infant with acute diarrhea to digest.