ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: A
Rationale: The correct answer is A: Oral electrolyte solution. This is the best choice for an infant with acute diarrhea to prevent dehydration due to fluid loss. Oral electrolyte solution helps replenish lost fluids and electrolytes, maintaining hydration. Applesauce, white grape juice, and chicken soup are not recommended for infants with acute diarrhea as they may exacerbate symptoms or do not provide the necessary hydration and electrolyte balance. It is crucial to choose a solution specifically designed for infants to ensure proper hydration and recovery.
Question 2 of 5
A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: The correct position for a child undergoing a lumbar puncture is lateral recumbent. This position allows for optimal access to the lumbar region while minimizing the risk of complications. Placing the child in a lateral position helps to open up the spaces between the vertebrae, making it easier for the healthcare provider to insert the needle accurately into the spinal canal. Prone position (option
A) is not suitable as it may not provide adequate access to the lumbar region. Supine position (option
C) is also incorrect as it does not facilitate proper alignment for the procedure. Semi-Fowler's position (option
D) is not ideal as it does not offer the necessary positioning for a lumbar puncture.
Question 3 of 5
A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: "You can replace milk with nondairy sources of calcium." This is the best instruction because it addresses the issue of lactose intolerance by suggesting alternative sources of calcium. Nondairy sources like leafy green vegetables, tofu, and fortified foods can provide adequate calcium without causing digestive issues.
Choice B is incorrect because lactose intolerance is a reaction to the lactose sugar in milk, not the type of milk. Plain or chocolate milk both contain lactose.
Choice C is incorrect as flavored yogurt often contains added sugars which may exacerbate digestive issues for someone with lactose intolerance.
Choice D is incorrect because consuming milk on an empty stomach won't change the fact that it contains lactose, which can still cause discomfort for someone with lactose intolerance.
Overall, choice A is the best option as it provides a practical and effective solution for meeting calcium needs while managing lactose intolerance.
Question 4 of 5
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: C
Rationale: The correct answer is C: RBC count 5/mm3 (4 to 5.5/mm3). In patients receiving treatment for leukemia, a decrease in the RBC count is expected due to the suppression of bone marrow activity by chemotherapy. A decrease in the RBC count can indicate that the treatment is working by targeting and reducing the abnormal leukemic cells. This is a positive therapeutic effect as it indicates that the treatment is effectively targeting the cancer cells.
A: Hemoglobin 6.8 g/dL - Low hemoglobin indicates anemia, which is a common side effect of leukemia treatment but does not specifically indicate therapeutic effect.
B: Platelet count 98,000/mm3 - Low platelet count is common in leukemia due to bone marrow suppression, but it does not directly indicate therapeutic effect.
D: WBC count 15,000/mm3 - Elevated WBC count is expected in leukemia and may not reflect therapeutic effect.
Therefore, the correct answer is C as
Question 5 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: The correct answer is A: "I will ensure that my child is tested for tuberculosis every year." This statement indicates an understanding of the teaching because children with HIV are at higher risk for tuberculosis, and regular testing is important for early detection and treatment.
Option B is incorrect because the risk of transmission does not decrease after only 2 weeks of zidovudine treatment. Option C is incorrect as doubling medications without medical advice can be harmful. Option D is incorrect because childhood immunizations are not repeated once in remission.