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 autism spectrum disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Establish a reward system. For children with autism spectrum disorder, establishing a reward system can help reinforce desired behaviors and encourage positive interactions. This intervention is effective in promoting learning and improving behavior. Maintaining extended eye contact (
A) may be overwhelming for a child with autism. Engaging in cooperative play (
C) might be challenging due to difficulties in social interactions. Holding the child during assessments (
D) may cause distress as individuals with autism may have sensory sensitivities.
Question 2 of 5
A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Infuse each unit of blood within 4 hr. This is important because packed RBCs should be infused in a timely manner to prevent bacterial growth and ensure the effectiveness of the transfusion. Infusing each unit within 4 hours helps maintain the integrity of the blood product and reduces the risk of complications such as bacterial contamination.
Choice B is incorrect because infusing dextrose 5% in water during the transfusion of packed RBCs is unnecessary and may dilute the blood product, affecting its efficacy.
Choice C is incorrect as storing the second unit of blood at room temperature for up to 2 hours is not recommended. Blood products should be stored according to specific guidelines to maintain their integrity and prevent contamination.
Choice D is incorrect as administering RBCs using non-filtered IV tubing can increase the risk of particulate contamination and adverse reactions in the recipient.
Therefore, the correct intervention is to infuse each unit of blood within
Question 3 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a nonpharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: C
Rationale: The correct answer is C: FLACC. FLACC stands for Face, Legs, Activity, Cry, and Consolability and is a pain assessment tool specifically designed for nonverbal or cognitively impaired individuals like toddlers. The tool assesses the toddler's facial expressions, leg movements, activity level, crying, and ability to be consoled. This comprehensive evaluation helps the nurse accurately determine the toddler's pain level. Visual analog scale (
A) and FACES scale (
B) require the ability to communicate and understand abstract concepts, making them unsuitable for cognitively impaired toddlers. CRIES scale (
D) is primarily used for infants and may not be as effective for toddlers.
Question 4 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: The correct answer is D: Administer the next dose as prescribed. It is important to maintain therapeutic levels of digoxin in the infant's system to manage heart failure. Vomiting after administration does not necessarily mean the medication was not absorbed. Skipping a dose may lead to suboptimal treatment. Mixing with formula (
A) may dilute the medication. Giving an antiemetic (
B) may not address the cause of vomiting. Increasing fluid intake (
C) may not prevent vomiting.
Question 5 of 5
A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Prolonged wound healing. Prednisolone is a corticosteroid that can suppress the immune system, leading to delayed wound healing. The nurse should monitor for this adverse effect by observing for slow or ineffective healing of any wounds the child may have. Stevens-Johnson syndrome (
A) is a severe skin reaction but is not a common side effect of prednisolone. Hypotension (
C) is not typically associated with prednisolone use. Renal failure (
D) is a potential adverse effect of long-term corticosteroid use but is less common compared to prolonged wound healing.