ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 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: A
Rationale: The correct answer is A: Monitor your child for indications of infection. Prednisone is an immunosuppressant medication that can increase the risk of infections. Teaching the parent to monitor for signs of infection is crucial for early detection and prompt treatment.
Choice B is incorrect because abruptly discontinuing prednisone can lead to withdrawal symptoms and worsening of the condition.
Choice C is incorrect as prednisone can cause low potassium levels, so limiting potassium-rich foods is not recommended.
Choice D is incorrect as prednisone can actually slow down growth in children.
Question 2 of 5
A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: C
Rationale: The correct answer is C. Vomiting can lead to decreased absorption of digoxin, potentially causing subtherapeutic levels and reducing the medication's effectiveness. A consistent therapeutic level of digoxin is vital for its intended therapeutic effects, such as improving cardiac output and reducing heart rate. Monitoring for signs of toxicity is crucial, but in this case, the nurse should prioritize addressing the vomiting episode to ensure proper drug absorption and efficacy.
Choices A, B, and D do not warrant a revision of the care plan as the apical pulse, potassium level, and digoxin level are within acceptable ranges.
Extract:
A nurse is teaching a group of parents about childhood immunizations.
Question 3 of 5
The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?
Correct Answer: C
Rationale: The correct answer is C: Varicella. At 12 months of age, infants should receive the first dose of varicella (chickenpox) vaccine to protect them against this contagious disease. Varicella vaccine helps prevent severe complications and spread of the virus. Inactivated polio virus (choice
A) is typically given at 2 months of age. Hepatitis B (choice
B) vaccine is usually administered shortly after birth. Human papillomavirus (choice
D) vaccine is recommended for adolescents.
Therefore, varicella (choice
C) is the appropriate immunization for infants at 12 months of age.
Extract:
Question 4 of 5
A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?
Correct Answer: A
Rationale: The correct answer is A: A toddler who has seasonal influenza. Droplet precautions are used for illnesses transmitted through respiratory secretions like influenza.
Toddlers are more susceptible to severe complications from influenza due to their immature immune systems.
Choice B is incorrect because viral conjunctivitis is transmitted through contact with infected eye secretions, requiring contact precautions.
Choice C is incorrect because hepatitis A is transmitted through the fecal-oral route, necessitating standard precautions.
Choice D is incorrect as pediculosis capitis (head lice) is transmitted through direct contact, warranting contact precautions.
Extract:
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever.
Question 5 of 5
Which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: A,D,E
Rationale: The correct laboratory tests to confirm the diagnosis are ASO titer, ESR, and CRP. ASO titer is used to detect antibodies against streptolysin O produced by Streptococcus bacteria, which helps diagnose streptococcal infections. ESR measures inflammation levels in the body, which can be elevated in various conditions including infections. CRP is a marker of inflammation and infection, so an elevated level can support the diagnosis. PTT is primarily used to evaluate blood clotting disorders, not specific for confirming this diagnosis. BUN is a measure of kidney function and not directly related to this diagnosis.