ATI RN
ATI Nur307 Pediatrics Quiz 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: C
Rationale: The correct answer is C: Infuse each unit of blood within 4 hr. This is important because packed RBCs should be infused within a specific timeframe to prevent bacterial growth and ensure the effectiveness of the transfusion. Infusing it within 4 hours helps maintain the integrity of the blood product.
A: Infusing dextrose 5% in water during the transfusion is not necessary and could potentially cause harm by diluting the blood product.
B: Administering RBCs using non-filtered IV tubing can introduce contaminants and should be avoided to prevent complications.
D: 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 quality and safety.
Question 2 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicates the treatment is effective?
Correct Answer: D
Rationale:
Correct
Answer: D
Rationale: The correct answer indicates that the child is able to hold their urine for about 15 minutes before going to the bathroom. This is a positive sign of bladder control improvement, which is the goal of conditioning therapy for enuresis. By being able to hold their urine for a longer period, the child is demonstrating improved bladder capacity and control. This shows that the treatment is effective in helping the child develop bladder control and reduce bedwetting incidents.
Summary of other choices:
A: Going to the bathroom when the alarm goes off does not necessarily indicate improved bladder control.
B: Drinking less may not be directly related to the effectiveness of conditioning therapy for enuresis.
C: Kegel exercises are not typically part of conditioning therapy for enuresis in children.
E, F, G: These choices are not provided, but based on the rationale, they would likely not be relevant to indicating the effectiveness of conditioning therapy for enuresis.
Question 3 of 5
A nurse is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?
Correct Answer: D
Rationale: The correct answer is D, no head lag when pulled to a sitting position. This finding indicates a lack of normal head control for a 4-month-old infant, which may suggest developmental delays or muscular weakness. The other choices are considered normal findings for a 4-month-old infant. A positive Babinski reflex, presence of tears when crying, and intact Doll's eye reflex are all expected developmental milestones at this age.
Therefore, notifying the provider about the lack of head lag is essential for further evaluation and intervention.
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: C
Rationale: The correct answer is C: The child swallows frequently. This is the priority assessment finding because it could indicate postoperative bleeding, a serious complication after a tonsillectomy. Swallowing frequently may suggest blood pooling in the throat, leading to potential airway compromise. Immediate intervention is required to prevent further complications. Refusing clear liquids (
A) and crying often (
B) are common behaviors in the postoperative period and do not necessarily indicate a critical issue. Throat pain increasing (
D) is expected after a tonsillectomy and can be managed with pain medication.
Question 5 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: The correct answer is B: Shakiness. Hypoglycemia is characterized by low blood sugar levels, leading to symptoms like shakiness, sweating, confusion, and irritability. In a diabetic child, shakiness indicates a drop in blood glucose levels, requiring immediate intervention. Decreased appetite (
A) is more common in hyperglycemia. Increased capillary refill (
C) and thirst (
D) are not specific manifestations of hypoglycemia.