ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Administering vaccines prior to discharge may be contraindicated in a child with neutropenia due to the risk of infection from live vaccines. Avoiding raw fruits and vegetables helps reduce the risk of exposure to harmful bacteria or pathogens that could lead to infection in a child with neutropenia, as their immune system is compromised. Bathing the child every other day is a general hygiene practice and does not specifically address the risk of infection associated with neutropenia. Obtaining the child's rectal temperature once daily is a routine assessment and does not directly address the risk of infection associated with neutropenia.
Question 2 of 5
A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: B
Rationale: An increase in potassium levels is not an expected finding with furosemide; instead, hypokalemia is a potential side effect. Furosemide is a diuretic commonly used to decrease fluid retention and edema, so a decrease in peripheral edema would indicate the medication's effectiveness. A decrease in cardiac output is not a desired effect of furosemide and may indicate worsening heart failure. An increase in venous pressure would suggest venous congestion, which is not an indication of effective furosemide therapy.
Question 3 of 5
A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?
Correct Answer: C
Rationale: Pediculosis capitis (head lice) does not require droplet precautions. Viral conjunctivitis (pink eye) is typically spread through direct contact or contact with contaminated surfaces, not droplets. Seasonal influenza is a respiratory illness that can spread through droplets when the infected person coughs or sneezes, necessitating droplet precautions. Hepatitis A is primarily spread through the fecal-oral route and does not require droplet precautions.
Question 4 of 5
A nurse is preparing to administer immunizations to a 5-year-old child who is up-to-date with the current immunization schedule. Which of the following immunizations should the nurse plan to administer?
Correct Answer: B
Rationale: Rotavirus vaccination is typically administered in infancy, not at 5 years of age. The second dose of varicella vaccine is usually given at 4-6 years of age. Haemophilus influenzae type b (Hib) vaccination is typically completed by 15 months of age. Hepatitis B vaccination typically starts at birth and is completed in infancy.
Question 5 of 5
A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Inhalation of gasoline is more likely to cause hyperthermia due to its effects on the central nervous system and metabolic rate. Hyperactive reflexes are not typically associated with gasoline inhalation but rather with stimulant use such as amphetamines or cocaine. Ataxia, or lack of coordination, is a common neurological symptom of gasoline inhalation due to its toxic effects on the brain and nervous system. Pinpoint pupils are more commonly associated with opioid overdose, not gasoline inhalation.