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 providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Offer commercially prepared formula. At 10 months, infants should be transitioning to solid foods and receiving appropriate nutrition from formula or breast milk. Goat milk does not provide adequate nutrients for infants. Warming the goat's milk (choice
A) does not address the nutritional deficiency. Switching to soy milk (choice
B) may not be suitable due to potential allergies. Reinitiating breast feeding (choice
D) may not be feasible or preferred by the parent. Commercially prepared formula (choice
C) is specifically designed to meet the nutritional needs of infants and is the most appropriate choice in this scenario.
Question 3 of 5
A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: A
Rationale: The correct answer is A because vomiting can affect the absorption and effectiveness of digoxin. Vomiting can lead to decreased drug levels in the bloodstream, potentially causing subtherapeutic effects. This can result in inadequate control of the toddler's condition and may lead to worsening symptoms.
Choices B, C, and D are within acceptable ranges and do not necessarily warrant a revision of the plan of care.
Choice B indicates a digoxin level within the therapeutic range, choice C indicates a slightly elevated pulse rate which can be expected with digoxin therapy, and choice D indicates a potassium level within the normal range.
Therefore, the nurse should focus on the toddler who has vomited to ensure proper absorption of the medication and adjust the plan of care accordingly.
Question 4 of 5
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Provide a doll for your 3-year-old child to imitate parental behaviors. This is the best option as it allows the child to practice and understand the concept of having a new sibling through play. By imitating parental behaviors with the doll, the child can learn caregiving skills and prepare for the arrival of the new sibling.
Choice A is incorrect because abruptly changing all routines may cause stress and confusion for the child.
Choice C is incorrect as simply telling the child they will have a new playmate may not adequately prepare them for the changes that come with a new sibling.
Choice D is incorrect because it is important to transition the child from crib to bed before the newborn arrives to avoid associating the change with the new sibling.
Question 5 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: B
Rationale: The correct answer is B: Doll's eye reflex intact. This reflex, also known as oculocephalic reflex, should not be present in infants beyond 3 months old. It involves the eyes moving in the opposite direction of head movement, which is abnormal in older infants. This finding could indicate a neurological issue and should be reported to the provider for further evaluation.
Choice A is normal as lack of head lag at 4 months indicates appropriate muscle tone.
Choice C is normal as infants should start producing tears when crying around this age.
Choice D is normal in infants under 2 years old as the Babinski reflex is present until this age.