ATI RN
ATI RN Pediatric Nursing 2023 II 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:
Correct
Answer: A - Infuse the packed RBC within 4 hours.
Rationale: Infusing packed RBCs within 4 hours is crucial to ensure the effectiveness and safety of the transfusion. Prolonged infusion time can lead to hemolysis and decrease the viability of the RBCs. It is essential to follow the prescribed rate of infusion to prevent adverse reactions and complications.
Summary of Incorrect
Choices:
B: Infusing dextrose 5% in water during the infusion of packed RBCs is unnecessary and can potentially lead to dilution of the RBCs, affecting their therapeutic effect.
C: Storing the second unit of blood at room temperature for up to 2 hours is incorrect as blood products should be stored according to specific guidelines to maintain their integrity and prevent bacterial growth.
D: Administering RBCs using non-filtered IV tubing can introduce contaminants into the bloodstream, leading to infection or adverse reactions. It is essential to use filtered IV
Question 2 of 5
A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Creatinine 1.4 mg/dL (0.2 to 0.5 mg/dL). This value is elevated, indicating potential kidney dysfunction, which is a common adverse effect of gentamicin. The nurse should report this to the provider for further evaluation and possible adjustment of the medication dosage.
A: Creatinine 0.3 mg/dL is within the normal range.
B: BUN 12 mg/dL is within the normal range.
D: BUN 6 mg/dL is within the normal range.
In summary, the nurse should report an elevated creatinine level as it suggests possible kidney damage due to gentamicin. The other choices are within normal limits and do not warrant immediate attention.
Question 3 of 5
A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?
Correct Answer: B
Rationale: The correct answer is B: Clear the area of hard objects. During a seizure, the child may thrash around uncontrollably, posing a risk of injury if there are hard objects nearby. By clearing the area of such objects, the parents can help prevent the child from harming themselves during the seizure. Placing the child in a prone position (choice
A) is not recommended as it can obstruct breathing. Inserting a tongue blade between the teeth (choice
C) is also not advised as it can cause injury to the child's mouth during the seizure. Minimizing movement of the limbs (choice
D) is important to prevent injury, but clearing the area of hard objects takes precedence.
Question 4 of 5
A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse?
Correct Answer: D
Rationale: The correct answer is D: Bruising around the wrists. This finding is concerning for physical abuse because bruises around the wrists are not commonly seen in accidental injuries. These bruises may indicate that the child was grabbed or restrained forcefully. It is crucial for the nurse to further assess the nature, location, and pattern of the bruising to determine if it raises suspicion of abuse. Abrasions on the knees (choice
A) are more likely to be related to normal childhood activities. Front deciduous teeth missing (choice
B) is a common occurrence in children due to natural tooth loss. Weight in the 45th percentile (choice
C) is within the normal range and does not specifically indicate physical abuse.
Question 5 of 5
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider?
Correct Answer: A
Rationale: The correct answer is A: Tachypnea. Respiratory syncytial virus (RSV) can cause respiratory distress in infants. Tachypnea, or rapid breathing, is a concerning sign that indicates the infant is having difficulty breathing and may need immediate medical intervention. Reporting tachypnea promptly to the provider allows for timely assessment and appropriate treatment to prevent respiratory compromise.
Incorrect choices:
B: Coughing - While coughing is common in RSV, it is not as urgent as tachypnea in indicating respiratory distress.
C: Rhinorrhea - Runny nose is a common symptom of RSV but does not require immediate reporting as it is not a critical sign of distress.
D: Pharyngitis - Throat inflammation may occur with RSV but is not as urgent as tachypnea in indicating respiratory distress.