ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: This option provides a suitable alternative for obtaining calcium without consuming milk, which is appropriate for someone who is lactose intolerant. While plain milk may be better tolerated than chocolate milk due to fewer additives, it's not a suitable option for someone who is lactose intolerant. Flavored yogurt may contain lactose and could potentially worsen symptoms of lactose intolerance. Drinking milk on an empty stomach doesn't address the issue of lactose intolerance and may exacerbate symptoms.
Question 2 of 5
A nurse is preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?
Correct Answer: C
Rationale: Asking the child's parent to leave the room during the procedure may increase the child's anxiety and make the procedure more traumatic. Performing the procedure in the unit's playroom may not provide the necessary equipment and sterile environment required for a venipuncture. Applying a topical anesthetic cream helps reduce pain and discomfort during the venipuncture, promoting atraumatic care. Explaining the procedure in detail to the child 3 hours prior to the procedure may increase anxiety and anticipation, making the procedure more traumatic.
Question 3 of 5
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: B,C,D
Rationale: A. Partial thromboplastin time (PTT) is not typically used in the diagnosis of rheumatic fever. B. C-reactive protein (CRP) is elevated in cases of inflammation and can help confirm the diagnosis of rheumatic fever. C. Erythrocyte sedimentation rate (ESR) is another marker of inflammation that can be elevated in rheumatic fever. D. Antistreptolysin O (ASO) titer measures antibodies against streptolysin O produced by Group A Streptococcus, which can indicate recent streptococcal infection, contributing to the diagnosis of rheumatic fever. E. Blood urea nitrogen (BUN) is not directly related to the diagnosis of rheumatic fever.
Question 4 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: Administering vaccines prior to discharge may be contraindicated in a child with neutropenia due to the risk of infection from live vaccines. Avoiding raw fruits and vegetables helps reduce the risk of exposure to harmful bacteria or pathogens that could lead to infection in a child with neutropenia, as their immune system is compromised. Bathing the child every other day is a general hygiene practice and does not specifically address the risk of infection associated with neutropenia. Obtaining the child's rectal temperature once daily is a routine assessment and does not directly address the risk of infection associated with neutropenia.
Question 5 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: Mixing the medication with formula may not be appropriate as the infant has vomited, and re-administering the medication immediately may result in overdosing. Giving an antiemetic is not indicated unless ordered by the healthcare provider. It is important to follow specific orders in this situation. Increasing fluid intake may not be advisable immediately after vomiting, especially in the context of heart failure. The infant may require evaluation for fluid status before increasing intake. Administering the next dose as prescribed is the appropriate action unless contraindicated by specific circumstances or healthcare provider orders.