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: The correct answer is A: "You can replace milk with nondairy sources of calcium." This is the best instruction because it addresses the issue of lactose intolerance by suggesting alternative sources of calcium. Nondairy sources like leafy green vegetables, tofu, and fortified foods can provide adequate calcium without causing digestive issues.
Choice B is incorrect because lactose intolerance is a reaction to the lactose sugar in milk, not the type of milk. Plain or chocolate milk both contain lactose.
Choice C is incorrect as flavored yogurt often contains added sugars which may exacerbate digestive issues for someone with lactose intolerance.
Choice D is incorrect because consuming milk on an empty stomach won't change the fact that it contains lactose, which can still cause discomfort for someone with lactose intolerance.
Overall, choice A is the best option as it provides a practical and effective solution for meeting calcium needs while managing lactose intolerance.
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:
Correct Answer: A - Infuse the packed RBC within 4 hours.
Rationale: Infusing packed RBCs within 4 hours is crucial to ensure the effectiveness and safety of the transfusion. Prolonged infusion time can lead to hemolysis and decrease the viability of the RBCs. It is essential to follow the prescribed rate of infusion to prevent adverse reactions and complications.
Summary of Incorrect
Choices:
B: Infusing dextrose 5% in water during the infusion of packed RBCs is unnecessary and can potentially lead to dilution of the RBCs, affecting their therapeutic effect.
C: Storing the second unit of blood at room temperature for up to 2 hours is incorrect as blood products should be stored according to specific guidelines to maintain their integrity and prevent bacterial growth.
D: Administering RBCs using non-filtered IV tubing can introduce contaminants into the bloodstream, leading to infection or adverse reactions. It is essential to use filtered IV
Question 3 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "You can choose which leg you get your medicine in." This statement empowers the child by giving them a sense of control in the situation, which can help alleviate anxiety and fear associated with receiving an injection. By allowing the child to make a choice, the nurse promotes autonomy and cooperation during the procedure. This approach fosters a positive experience and helps build trust between the child and healthcare provider.
Choices A, B, and C are incorrect because they do not address the child's potential fear or anxiety about the injection. Offering a prize for not crying (
A) may inadvertently reinforce the idea that crying is expected or acceptable. Statement B may not accurately explain the purpose of the medicine or the injection process. Statement C, while attempting to minimize the sensation, does not acknowledge the child's emotional needs or provide any reassurance.
Question 4 of 5
A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Correct Answer: A
Rationale: The correct answer is A: Dietitian. The nurse should initiate a referral to a dietitian for a child with cystic fibrosis to ensure proper nutrition and weight management. Cystic fibrosis can affect the body's ability to absorb nutrients, so a dietitian can help develop a specialized diet plan. Occupational therapist (
B) focuses on daily activities, physical therapist (
D) focuses on mobility, and speech-language pathologist (
C) focuses on communication and swallowing - not directly related to cystic fibrosis nutritional needs.
Extract:
History and Physical: School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamins A, D, E, and K. Barrel-shaped chest, Clubbing of the fingers bilaterally, Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough
Question 5 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
Correct Answer: A,C,E
Rationale: The correct answer is A, C, and E.
A - Pancreatic lipase is commonly used to aid digestion in children with pancreatic insufficiency.
C - Water-soluble vitamins may be prescribed for children who have certain nutritional deficiencies or malabsorption issues.
E - Dornase alfa is used to help treat cystic fibrosis by reducing the thickness of mucus in the lungs.
B - Acetaminophen is a common over-the-counter pain reliever and fever reducer, not typically prescribed or reconciled in a child's medical record.
D - Meperidine is a narcotic analgesic with potential side effects and risks, not commonly prescribed for children.