ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer the influenza vaccine to a toddler. The prescription is written to administer the influenza vaccine subcutaneously. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Verifying a gelatin allergy is crucial, as some influenza vaccines contain gelatin as a stabilizer.
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: C
Rationale: The correct answer is C: Infuse each unit of blood within 4 hours. This is important because packed RBCs must be infused within a specific timeframe to prevent bacterial growth and maintain the integrity of the blood product. Infusing the blood within 4 hours helps reduce the risk of bacterial contamination and ensures the effectiveness of the transfusion.
Explanation for other choices:
A: Infusing dextrose 5% in water during the infusion of packed RBCs is not necessary and may lead to fluid overload in the child.
B: Administering RBCs using non-filtered IV tubing can increase the risk of air embolism and contamination, so it is not the correct intervention.
D: Storing the second unit of blood at room temperature for up to 2 hours is incorrect as blood products should be stored under specific temperature conditions to maintain their quality and safety.
Question 3 of 5
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Reposition the client using a turning sheet. This is important to prevent pressure injuries and promote circulation. Turning the client helps prevent complications such as pressure ulcers or respiratory issues. Encouraging flexion and extension of the neck (choice
A) is contraindicated with a halo vest as it can disrupt the stability provided by the device. Tightening the screws on the halo device (choice
B) should only be done by a healthcare provider and specific instructions given. Assessing pin sites for infection (choice
C) is important, but not as crucial as repositioning for overall client well-being.
Extract:
A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to monitor the newborn's temperature every 2 hours. This is crucial in assessing the newborn's thermoregulation, a critical aspect of neonatal care. Monitoring temperature every 2 hours allows for early detection of any signs of hypothermia or hyperthermia, enabling prompt interventions to maintain the newborn's thermal stability. Checking the newborn's eyes every 8 hours (
A) is not a priority in immediate newborn care. Placing mittens on the newborn's hands (
B) is not necessary unless the newborn is scratching themselves. Applying lotion to the newborn's skin (
D) may not be recommended immediately after birth due to the risk of skin irritation.
Extract:
Question 5 of 5
A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Prolonged wound healing. Prednisolone is a corticosteroid that can suppress the immune system, leading to delayed wound healing. The nurse should monitor for this adverse effect by observing the child's wound healing progress.
Choice B, hypotension, is not a common adverse effect of prednisolone.
Choice C, Stevens-Johnson syndrome, is a severe skin reaction typically caused by medications like sulfonamides, not corticosteroids.
Choice D, renal failure, is also not a common adverse effect of prednisolone. Monitoring for prolonged wound healing is crucial to prevent complications and ensure the child's well-being.