ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 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: The correct answer is B: Avoid raw fruits and vegetables in the child's diet. Neutropenia is a condition characterized by low neutrophil count, leading to increased susceptibility to infections. Raw fruits and vegetables may harbor bacteria that can cause infections in immunocompromised individuals.
Therefore, avoiding raw produce helps reduce the risk of infection. Administering vaccines prior to discharge (
Choice
A) may be important for other conditions, but in neutropenia, live vaccines are contraindicated. Bathing the child every other day (
Choice
C) and obtaining rectal temperature daily (
Choice
D) are not specific to managing neutropenia.
Question 2 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: The correct answer is D: Facial twitching. This finding is the priority because it could indicate a neurological issue or seizure activity, which can be life-threatening in a child with sickle cell anemia. Kyphosis (
A) is a spinal deformity that may require monitoring but is not as urgent as facial twitching. Constipation (
B) and enuresis (
C) are common issues in children and can be managed with interventions such as dietary changes or bladder training. Facial twitching (
D) requires immediate attention as it may be a sign of a more serious complication.
Question 3 of 5
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
Correct Answer: C
Rationale: The correct answer is C: Monitor for pallor or swelling in the child's affected hand. This is the priority information because it can indicate complications such as impaired circulation or compartment syndrome, which require immediate medical attention to prevent permanent damage. Skin irritation at the cast edges (choice
A) can be addressed with padding adjustments but is not as urgent. Restricting strenuous activities (choice
B) is important but not the priority. Using a hair dryer on cool setting to relieve itching (choice
D) can cause burns and should be avoided.
Question 4 of 5
A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: The correct answer is B: Lateral. Placing the child in the lateral position for a lumbar puncture allows for better visualization of the spinal landmarks and facilitates easier access to the lumbar region for the procedure. This position also helps minimize the risk of complications such as nerve injury or leakage of cerebrospinal fluid. Other positions are incorrect: A: Prone would not provide the optimal access needed for a lumbar puncture. C: Supine does not allow for proper alignment of the spine. D: Semi-Fowler's position would not provide the necessary exposure of the lumbar region.
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: The correct answer is D: Monitor your child for indications of infection. Prednisone is an immunosuppressant medication that can increase the risk of infections. Monitoring for signs of infection such as fever, sore throat, or cough is crucial to prevent complications.
Choice A is incorrect because abruptly stopping prednisone can lead to withdrawal symptoms.
Choice B is incorrect as prednisone can cause low potassium levels, so limiting potassium-rich foods is not necessary.
Choice C is incorrect as prednisone may affect growth but not necessarily stimulate a growth spurt.