ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: A. Daily weight monitoring is essential in managing nephrotic syndrome to assess for fluid retention and response to treatment. B. Positioning the child supine at bedtime is not specific to the management of nephrotic syndrome. C. Calorie intake may need to be increased rather than limited in nephrotic syndrome to compensate for protein loss and meet increased energy needs. D. Fluid intake may need to be restricted rather than increased, depending on the child's fluid status and response to treatment.
Question 2 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: A. Mixing digoxin with formula is not recommended, as it may affect the medication's absorption and effectiveness. It should be administered separately and as prescribed. B. Giving an antiemetic may be considered if vomiting persists and is severe, but it is not the initial action. The nurse should first ensure the infant is stable and then administer the next dose of digoxin as prescribed. C. Increasing fluid intake may help prevent dehydration if vomiting persists, but it does not address the administration of the next dose of digoxin. D. Administering the next dose of digoxin as prescribed is appropriate, as long as the infant is stable and vomiting has ceased. The nurse should monitor for signs of toxicity and notify the healthcare provider if vomiting continues or if there are concerns about absorption.
Question 3 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: A. Nutritional management is crucial in cystic fibrosis due to malabsorption issues. A dietitian can provide guidance on appropriate dietary intake and may recommend enzyme replacement therapy. B. Occupational therapists may assist with activities of daily living, but their primary role may not be as critical initially as nutritional management. C. Speech-language pathologists primarily focus on speech and swallowing disorders, which may not be the primary concern at the time of admission. D. Physical therapists may assist with physical activity and mobility, but their primary role may not be as critical initially as nutritional management.
Question 4 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: A. Kyphosis, an excessive outward curvature of the spine, may be a complication of sickle cell disease but is not typically considered a priority over acute neurological symptoms. B. Constipation is a common symptom in sickle cell disease due to vaso-occlusive events, but it is not an acute concern unless severe or accompanied by other symptoms. C. Enuresis, or bedwetting, may occur in children with sickle cell disease due to changes in renal function but is not typically considered a priority over acute neurological symptoms. D. Facial twitching could be indicative of a seizure or other neurological complication, which is a serious concern requiring immediate attention, especially in a child with sickle cell disease who may be at increased risk for neurological complications due to the increased risk of stroke.
Therefore, it is the priority finding to report to the provider.
Question 5 of 5
A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: A. Instructing the parent to discontinue prednisone if gastrointestinal upset occurs is not appropriate, as abrupt discontinuation of corticosteroids can lead to adrenal insufficiency. Monitoring for and managing gastrointestinal upset while continuing the medication as prescribed is more appropriate. B. Limiting intake of potassium-rich foods is not specifically indicated with prednisone therapy. Prednisone may increase the risk of potassium loss, but dietary adjustments should be made under medical guidance. C. Prednisone can affect growth in children, but it is more commonly associated with slowing growth rather than stimulating a growth spurt. This statement is misleading and not accurate. D. Monitoring the child for indications of infection is crucial when taking prednisone, as corticosteroids can suppress the immune system and increase susceptibility to infections. This statement addresses an important aspect of medication safety and is the priority in discharge teaching.