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 varicella. Which of the following interventions should the nurse plan to include?
Correct Answer: D
Rationale: The correct answer is D: Initiate airborne precautions. Varicella (chickenpox) is highly contagious and spreads through respiratory droplets. Airborne precautions help prevent the transmission of the virus to others. Providing a warm blanket (
A) is not directly related to managing varicella. Assessing for Koplik spots (
B) is associated with measles, not varicella. Administering aspirin for fever (
C) is contraindicated in varicella due to the risk of Reye's syndrome.
Question 2 of 5
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Secure the restraints with a quick-release knot. This is important for the safety of the child as quick-release knots allow for easy removal in case of an emergency. Tying restraints to the side rails (option
A) can increase the risk of injury. Requesting prescription renewal every 48 hours (option
B) is important but not the immediate action needed. Assessing the child every 4 hours (option
D) is essential but secondary to ensuring proper restraint application.
Question 3 of 5
A nurse is planning care for a preschooler who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Establish a reward system. For children with autism spectrum disorder, establishing a reward system can help reinforce desired behaviors and encourage positive interactions. This intervention is effective in promoting learning and improving behavior. Maintaining extended eye contact (
A) may be overwhelming for a child with autism. Engaging in cooperative play (
C) might be challenging due to difficulties in social interactions. Holding the child during assessments (
D) may cause distress as individuals with autism may have sensory sensitivities.
Question 4 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: D
Rationale: The correct answer is D: Bradypnea. Morphine is an opioid that can cause respiratory depression, leading to bradypnea (slow breathing). Monitoring the child's respiratory rate is crucial to detect any signs of respiratory distress. Stevens-Johnson syndrome (
A) is a severe skin reaction, not typically associated with morphine. Hypertension (
B) is not a common adverse effect of morphine; in fact, it can cause hypotension. Prolonged wound healing (
C) is not a known adverse effect of morphine. Monitoring for bradypnea will ensure timely intervention if the child experiences respiratory depression.
Question 5 of 5
A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Correct Answer: A
Rationale: The correct answer is A: Dietitian. In cystic fibrosis, nutrition is crucial due to malabsorption issues. A dietitian can assess the child's nutritional needs, provide dietary recommendations, and help optimize nutrient intake. Referring to an occupational therapist (
B) would address activities of daily living, not specific to cystic fibrosis. Speech-language pathologists (
C) focus on speech and swallowing disorders, not directly related to cystic fibrosis. Physical therapists (
D) primarily address mobility and physical function, which may not be the priority in cystic fibrosis.