ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 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: D
Rationale: The correct answer is D: Monitor your child for indications of infection. Prednisone is an immunosuppressant medication that can increase the risk of infections. Monitoring for signs of infection such as fever, sore throat, or cough is crucial to prevent complications.
Choice A is incorrect because abruptly stopping prednisone can lead to withdrawal symptoms.
Choice B is incorrect as prednisone can cause low potassium levels, so limiting potassium-rich foods is not necessary.
Choice C is incorrect as prednisone may affect growth but not necessarily stimulate a growth spurt.
Extract:
Nurses' Notes: 0700: 7 year old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor. Vital Signs: 0715: Temperature 38 C (100.4 F), Heart rate 80/min, Respiratory rate 22/min, Blood pressure 106/65 mm Hg. 0930: Temperature 38.4 C (101.1 F), Heart rate 90/min, Respiratory rate 23/min, Blood pressure 105/65 mm Hg. Provider Prescription: Sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO, Salicylic acid 20 mg/kg/dose every 4 hr as needed for pain and fever
Question 2 of 5
The nurse is planning care for the client. For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Intervention | Anticipated |
|---|---|
| Educate the child about proper perineal hygiene | |
| Administer sulfamethoxazole and trimethoprim | |
| Administer salicylic acid for pain and fever | |
| Ensure the child receives a maximum of 1,200 mL/day of fluid | |
| Advise child's guardian about the use of sunscreen |
Correct Answer: A,B,E
Rationale: [1,0,1]
Correct Answer: A,B,E
Rationale:
A: Educating the child about proper perineal hygiene is anticipated to prevent infections.
B: Administering sulfamethoxazole and trimethoprim is anticipated for treating infections.
E: Advising about sunscreen is anticipated to prevent sunburn.
Others are contraindicated as salicylic acid may not be suitable for pain and fever, fluid intake should be individualized.
Extract:
Question 3 of 5
A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A. "I will ensure that my child is tested for tuberculosis every year."
Rationale: This statement shows understanding as children with HIV are at increased risk for tuberculosis. Regular testing is essential for early detection and treatment, preventing complications.
Summary of other choices:
B. Incorrect. Risk of transmission doesn't decrease after 2 weeks; consistent adherence to medication is crucial.
C. Incorrect. Doubling medications without healthcare provider's guidance can be harmful.
D. Incorrect. Immunizations are vital for children with HIV and should not be repeated in remission.
Question 4 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: D
Rationale: The correct answer is D: Bradypnea. Morphine is an opioid that can cause respiratory depression, leading to bradypnea (slow breathing). Monitoring the child's respiratory rate is crucial to detect any signs of respiratory distress. Stevens-Johnson syndrome (
A) is a severe skin reaction, not typically associated with morphine. Hypertension (
B) is not a common adverse effect of morphine; in fact, it can cause hypotension. Prolonged wound healing (
C) is not a known adverse effect of morphine. Monitoring for bradypnea will ensure timely intervention if the child experiences respiratory depression.
Question 5 of 5
A nurse is assessing a child who has measles. Which of the following areas should the nurse inspect for Koplik spots?
Correct Answer: C
Rationale: The correct answer is C: Inside of the cheeks. Koplik spots are small white spots with a bluish-white center on the buccal mucosa opposite the molars. These spots are specific to measles and appear before the characteristic rash. Inspecting the inside of the cheeks allows the nurse to identify these spots early, aiding in prompt diagnosis and appropriate management. The other areas listed (forehead, chest, back) are not associated with the presence of Koplik spots in measles.