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: A. Administering vaccines prior to discharge may not be appropriate for a child with neutropenia as they have a compromised immune system, and live vaccines should be avoided. B. Avoiding raw fruits and vegetables in the child's diet is essential because raw produce may harbor bacteria that could potentially lead to infections in a child with neutropenia. Cooked fruits and vegetables are safer options. C. Bathing the child every other day may be appropriate to maintain cleanliness, but it is not specifically related to neutropenia management. D. Obtaining the child's rectal temperature once daily is important for monitoring for fever, which can be a sign of infection in a neutropenic child. However, dietary precautions to prevent bacterial exposure are more directly related to managing neutropenia.
Question 2 of 5
A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: A. Assessing both eyes together first, then separately, is not the standard method; typically, each eye is tested separately first to detect differences. B. Positioning the child 4.6 meters (15 feet) from the chart is incorrect; the standard distance for a Snellen chart is 20 feet (6 meters), though a 10-foot chart may be used for young children. C. Testing the child without glasses before testing with glasses may be appropriate but is not specifically related to the method of visual acuity assessment. D. Using a tumbling E chart is appropriate for assessing visual acuity in young children who may not recognize letters. The tumbling E chart uses a series of 'E' shapes facing different directions, allowing the child to indicate the direction the 'E' is facing, thus assessing visual acuity.
Question 3 of 5
A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: A. While vomiting can be a symptom in some gastrointestinal disorders, it is not specific to necrotizing enterocolitis. B. Hypertension is not typically associated with necrotizing enterocolitis. Instead, infants may present with hypotension due to septic shock or poor perfusion. C. A rounded abdomen is a common finding in infants with necrotizing enterocolitis due to abdominal distension from gas and fluid accumulation. D. Tachypnea may occur in response to systemic infection or respiratory distress but is not a defining characteristic of necrotizing enterocolitis.
Question 4 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: B
Rationale: A. Unopened bottles of formula are not typically a source of healthcare-associated infection. B. Bedside computer keyboards can harbor various pathogens and are commonly touched by multiple individuals without thorough cleaning, making them a common source of healthcare-associated infections. C. Disposable diapers, if properly disposed of and not reused, are not typically a source of healthcare-associated infection. D. Protective plastic gowns, if used appropriately, are not typically a source of healthcare-associated infection.
Question 5 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.