ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Child for a lumbar puncture
Question 1 of 5
A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: The correct answer is B: Lateral. Placing the child in a lateral position helps to widen the spaces between the vertebrae, making it easier to access the lumbar region. This position also reduces the risk of nerve damage during the procedure. Placing the child prone (
A) or supine (
D) would not provide the optimal access to the lumbar region. Semi-Fowler's position (
C) is not ideal as it does not provide the necessary alignment of the spine for a lumbar puncture.
Extract:
Child with epiglottitis due to Haemophilus influenzae type B
Question 2 of 5
A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,B,D
Rationale: The correct answers are A, B, and D.
A: Begin droplet precautions - This is crucial to prevent the spread of infection as Haemophilus influenzae type B is transmitted through respiratory droplets.
B: Initiate IV access - Important for administering antibiotics and fluids to manage the infection and maintain hydration.
D: Monitor oxygen saturation - Essential to assess respiratory status as epiglottitis can lead to airway obstruction and respiratory distress.
Incorrect choices:
C: Inspect the epiglottis - Direct visualization can be dangerous and can lead to worsening airway obstruction.
E: Obtain a throat culture - Not a priority in the acute care of epiglottitis; treatment should be initiated promptly based on clinical presentation.
Extract:
Child with juvenile idiopathic arthritis and a new prescription for prednisone
Question 3 of 5
A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: "Monitor your child for indications of infection." This statement is important because prednisone can suppress the immune system, increasing the risk of infections. Monitoring for signs of infection allows for early detection and treatment.
Incorrect choices:
A: Limiting potassium-rich foods is not necessary with prednisone.
C: Prednisone does not typically stimulate growth spurts.
D: Discontinuing prednisone abruptly can lead to withdrawal symptoms and should be done under medical supervision.
Extract:
Child with a prescription to transfuse 2 units of packed RBCs
Question 4 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: B
Rationale: The correct answer is B: Infuse each unit of blood within 4 hr. This is because packed RBCs should be infused within a specific timeframe to reduce the risk of bacterial growth. Infusing each unit within 4 hours helps maintain the integrity of the blood product and decrease the risk of contamination.
Incorrect options:
A: Administering RBCs using non-filtered IV tubing can increase the risk of particulate matter entering the bloodstream.
C: Infusing dextrose 5% in water during the transfusion of packed RBCs is not recommended as it can cause hemolysis.
D: Storing the second unit of blood at room temperature for up to 2 hours is not safe practice as blood products should be stored according to specific guidelines to maintain their integrity.
Extract:
Newborn and a 3-year-old sibling
Question 5 of 5
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Provide a doll for your 3-year-old child to imitate parental behaviors. This option is correct because it helps the child understand and practice caregiving skills they can use with the new sibling. Giving the child a doll allows them to mimic parental behaviors like feeding, changing, and comforting, which can promote a sense of involvement and responsibility.
Incorrect choices:
A: Tell your 3-year-old child that they will now have a new playmate. This choice does not address the child's need for preparation and understanding of the new sibling's arrival.
B: Wait for the newborn to come home before moving your 3-year-old child from the crib. This choice is not relevant to preparing the child for the new sibling and does not address their emotional needs.
D: Prepare your 3-year-old child for a change in all of their routines. This choice is too vague and does not provide specific guidance on how to prepare the child for the new sibling.