ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
School-age child with autism spectrum disorder
Question 1 of 5
A nurse is planning care for a school-age child who has autism spectrum disorder. Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Introduce the child to new situations slowly. For a child with autism spectrum disorder, new situations can be overwhelming and lead to anxiety. By introducing the child to new situations slowly, the nurse can help the child feel more comfortable and reduce stress. This approach allows the child to gradually adapt and build confidence. Staying with the child for long periods of time (
A) may lead to dependency and hinder the child's independence. Giving the child three options when making choices (
B) may be too overwhelming and cause confusion. Explaining procedures in detail to the child (
C) may be helpful, but it may not address the main issue of introducing the child to new situations slowly.
Extract:
Toddlers receiving digoxin therapy
Question 2 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: D
Rationale: The correct answer is D. Vomiting can lead to reduced absorption of digoxin, affecting its therapeutic effect. This can result in suboptimal treatment and potential toxicity. Monitoring for vomiting is crucial when administering digoxin.
Choices A, B, and C indicate normal findings within the expected range for a toddler receiving digoxin therapy, so no revision is needed for those.
Extract:
Preschool-age child in the immediate postoperative period following a tonsillectomy
Question 3 of 5
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
Correct Answer: D
Rationale: The correct answer is D: The child swallows frequently. This is the priority assessment finding because it could indicate postoperative bleeding, a potentially life-threatening complication after a tonsillectomy. Swallowing frequently may suggest blood pooling in the throat, leading to the need for prompt intervention to prevent further complications. Crying often (
A), refusing clear liquids (
B), and increased throat pain (
C) are common postoperative symptoms that can be managed with appropriate interventions.
Therefore, they are not as urgent as the possibility of postoperative bleeding indicated by frequent swallowing.
Extract:
School-age child with autism spectrum disorder
Question 4 of 5
A nurse is planning care for a school-age child who has autism spectrum disorder. Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Introduce the child to new situations slowly. For a child with autism spectrum disorder, new situations can be overwhelming and lead to anxiety. By introducing the child to new situations slowly, the nurse can help the child feel more comfortable and reduce stress. This approach allows the child to gradually adapt and build confidence. Staying with the child for long periods of time (
A) may lead to dependency and hinder the child's independence. Giving the child three options when making choices (
B) may be too overwhelming and cause confusion. Explaining procedures in detail to the child (
C) may be helpful, but it may not address the main issue of introducing the child to new situations slowly.
Extract:
School-age child receiving cefazolin
Question 5 of 5
A nurse is assessing a school-age child who is receiving cefazolin. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Stevens-Johnson syndrome. Cefazolin belongs to the class of antibiotics known as cephalosporins, which can rarely cause severe skin reactions like Stevens-Johnson syndrome. This syndrome presents with flu-like symptoms followed by a painful red or purplish rash that spreads and blisters. It is a serious and potentially life-threatening reaction that requires immediate medical attention. The other options are not typically associated with cefazolin. Hypotension is more commonly seen with medications like vasopressors, prolonged wound healing is not a known side effect of cefazolin, and bradypnea is not a typical adverse effect of this medication. Monitoring for Stevens-Johnson syndrome is crucial to promptly identify and manage this severe reaction.