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: Packed red blood cells should typically be infused within 4 hours to reduce the risk of bacterial contamination and ensure potency. Dextrose 5% in water is not typically infused with packed RBCs; the focus is on administering blood products as prescribed. Blood products are typically stored under controlled conditions and transfused promptly after verification and compatibility checks. Filtered IV tubing is often used for blood transfusions to minimize the risk of air embolism and particle infusion.
Question 2 of 5
A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: Increased capillary refill time is not typically associated with hypoglycemia. It may indicate poor peripheral circulation. Shakiness or tremors are common signs of hypoglycemia, as the body responds to low blood sugar levels. Thirst is not typically associated with hypoglycemia. It may be a symptom of hyperglycemia, where blood sugar levels are high. While decreased appetite can occur with hypoglycemia, it is not as specific a symptom as shakiness.
Question 3 of 5
A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: B
Rationale: Setting the water heater to 60°C (140°F) increases the risk of scalding burns, so it is not a recommended safety measure.
Toddlers are curious and may try to pull or chew on electrical wires, which can cause electrocution or fire hazards. The nurse should advise parents to keep electrical wires out of reach or secured with cord covers or tape. Encouraging outdoor activities between 1100 and 1300 exposes toddlers to excessive sun exposure and heat, which can cause sunburns or heatstroke. Turning pot handles toward the front of the stove is a dangerous practice that can cause toddlers to reach for them and spill hot liquids or food on themselves.
Extract:
Nurses' Notes 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter.
Question 4 of 5
The child is at risk for developing_____ and _____.
Correct Answer: A,B
Rationale: A. Pyelonephritis is a bacterial infection of the kidneys commonly associated with fever and lethargy, especially in young children. B. Renal scarring can occur as a complication of untreated or recurrent urinary tract infections (UTIs), particularly pyelonephritis. C. While acute glomerulonephritis can occur following certain infections such as streptococcal infections, it is less commonly associated with fever and lethargy compared to pyelonephritis. D. Polycystic kidney disease typically presents later in life and is not typically associated with acute febrile illness in a 1-year-old toddler. E. Nephrotic syndrome typically presents with edema, proteinuria, hypoalbuminemia, and hyperlipidemia, rather than the symptoms described in the scenario.
Extract:
History and Physical: A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10.
Question 5 of 5
Select the 5 interventions the nurse should include.
Correct Answer: B,C,D
Rationale: A. The nurse should not restrict oral intake, as hydration is important to prevent dehydration and further sickling. B. Hydroxyurea is used to prevent vaso-occlusive crises in patients with sickle cell disease but is not typically administered during an acute crisis; however, it may be reconciled from the home medication list. C. Meperidine (Demerol) is a potent opioid analgesic that can help alleviate severe pain associated with vaso-occlusive crises. D. Instructing the parent to ensure the pneumococcal vaccine is current is not an immediate priority but is important for long-term care.