ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Child with juvenile idiopathic arthritis and a new prescription for prednisone
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: 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 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: 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 3 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.
Extract:
School-age child with heart failure taking furosemide
Question 4 of 5
A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: B
Rationale: The correct answer is B: A decrease in peripheral edema. Furosemide is a loop diuretic that works by increasing urine output, reducing fluid volume, and decreasing congestion in heart failure patients.
Therefore, a decrease in peripheral edema indicates that the medication is effectively reducing fluid retention and congestion.
Incorrect
Choices:
A: An increase in venous pressure - Furosemide should actually decrease venous pressure by reducing fluid volume.
C: An increase in potassium levels - Furosemide can cause potassium loss, so an increase in potassium levels would be an indication of a potential issue.
D: A decrease in cardiac output - Furosemide should not decrease cardiac output; it should help improve cardiac function by reducing fluid overload.
Extract:
3-year-old child
Question 5 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "You will only feel a little stick." This statement is appropriate for a 3-year-old child as it is reassuring, concise, and prepares the child for the sensation of the injection without causing unnecessary fear. It uses simple language that a young child can understand and minimizes anxiety.
Choice B is incorrect because it incentivizes the child not to cry, which may create unnecessary pressure and stress for the child.
Choice C is incorrect because it oversimplifies the purpose of the medication and may lead to misconceptions about its effects.
Choice D is incorrect as it gives the child too much control over the situation, which may not be appropriate for a medical procedure.
In summary, choice A is the most appropriate as it is clear, reassuring, and provides necessary information without causing distress.