ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an oral medication to a preschooler. Which of the following actions should the nurse take to encourage acceptance of the medication?
Correct Answer: A
Rationale: The correct answer is A: Provide an ice pop after administering the medication. Offering a reward or positive reinforcement, such as an ice pop, after taking the medication can encourage the preschooler to accept it. This creates a positive association with the medication, increasing the likelihood of compliance.
Choice B, giving milk with the medication, may not be effective if the child dislikes the taste of the medication.
Choice C, mixing the medication with food, may make it difficult to ensure the full dose is taken.
Choice D, diluting the medication with water, may alter its effectiveness and taste, leading to resistance.
Question 2 of 5
A nurse is providing teaching to the parent of a school-age child who has a maintenance prescription for prednisone following an acute asthma attack. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "My child might experience mood swings." This statement indicates an understanding of the side effects of prednisone, which can include mood swings due to its impact on hormone levels. Mood swings are a common side effect of corticosteroids like prednisone.
Incorrect choices:
B: Taking the child for a weekly blood test is unnecessary for maintenance prednisone therapy.
C: Withholding medication before physical activity can be dangerous and is not recommended for maintenance therapy.
D: Prednisone can cause increased appetite rather than decreased appetite in some individuals.
In summary, understanding the potential side effects of prednisone, such as mood swings, is crucial for the parent to ensure proper monitoring and management of their child's health.
Extract:
A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 lb) and is postoperative following open heart surgery.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Urine output of 15 mL in the last 2 hr. This finding indicates oliguria, which can be a sign of decreased kidney function or dehydration, requiring immediate attention. In contrast, option A is within normal parameters for chest tube drainage, C reflects normal skin temperature, and D indicates normal pulses. Reporting option B is crucial to prevent further complications.
Extract:
Question 4 of 5
A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale:
Correct Answer: A. Provide for periods of rest.
Rationale: Children with heart failure have reduced cardiac output, leading to fatigue. Providing periods of rest helps conserve energy and prevent exhaustion, improving the child's overall well-being and supporting cardiac function.
Summary of Incorrect
Choices:
B: Increasing oxygen flow rate based on cyanosis can lead to oxygen toxicity and is not a recommended approach for managing heart failure.
C: Digoxin is a crucial medication for heart failure management. Withholding it based solely on heart rate without consulting a healthcare provider can be dangerous.
D: Weighing the child once a month is not frequent enough for monitoring fluid status in heart failure, where daily weights are recommended.
Question 5 of 5
A nurse is providing teaching about injury prevention to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Check clothing for loose buttons. This is important because loose buttons can pose a choking hazard to toddlers. By checking and securing clothing items, parents can prevent accidental ingestion.
Choice B is incorrect as the recommended water heater temperature for safety is 49°C (120°F), not 54°C.
Choice C is relevant for preventing falls but not directly related to injury prevention from choking hazards.
Choice D is incorrect because balloons are a choking hazard for young children.