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: The correct answer is A: Infuse each unit of blood within 4 hr. This is important because packed RBCs should be infused in a timely manner to prevent bacterial growth and ensure the effectiveness of the transfusion. Infusing each unit within 4 hours helps maintain the integrity of the blood product and reduces the risk of complications such as bacterial contamination.
Choice B is incorrect because infusing dextrose 5% in water during the transfusion of packed RBCs is unnecessary and may dilute the blood product, affecting its efficacy.
Choice C is incorrect as storing the second unit of blood at room temperature for up to 2 hours is not recommended. Blood products should be stored according to specific guidelines to maintain their integrity and prevent contamination.
Choice D is incorrect as administering RBCs using non-filtered IV tubing can increase the risk of particulate contamination and adverse reactions in the recipient.
Therefore, the correct intervention is to infuse each unit of blood within
Question 2 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 diuretic that helps the body eliminate excess fluid and sodium, reducing fluid overload and edema in heart failure. Monitoring peripheral edema is crucial as a decrease indicates that the medication is effectively reducing fluid retention.
A: An increase in potassium levels is a potential side effect of furosemide due to potassium loss with diuresis.
C: A decrease in cardiac output would be an adverse effect of heart failure worsening, not an indication of furosemide effectiveness.
D: An increase in venous pressure would suggest worsening heart failure and ineffective furosemide therapy.
Question 3 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Discard the first voided specimen. For a 24-hr urine collection, it is important to start the collection with an empty bladder to ensure accuracy. By discarding the first voided specimen, the nurse can begin the collection period accurately. Voiding every hour (
B) is not necessary for a 24-hr collection and could lead to inaccuracies. Cleansing the perineum with povidone-iodine solution (
C) is not required and may introduce contaminants. Saving the final specimen in a separate container (
D) is unnecessary and can complicate the collection process.
Question 4 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 5 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.