ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
11-month-old infant with acute diarrhea
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: D
Rationale: The correct answer is D: Oral electrolyte solution. This is the best choice for an infant with acute diarrhea as it helps prevent dehydration by replacing lost fluids and electrolytes. Chicken soup (
A) may be too heavy for an infant's stomach. White grape juice (
B) and applesauce (
C) contain high sugar levels that can worsen diarrhea. Providing a clear, detailed explanation helps the guardian understand the importance of using oral electrolyte solution to manage the infant's condition effectively.
Extract:
1-year-old child hospitalized
Question 2 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: A
Rationale: The correct answer is A: Bedside computer keyboard. Bedside computer keyboards are frequently touched by multiple healthcare providers without proper disinfection, leading to cross-contamination and potential healthcare-associated infections. Protective plastic gowns, unopened bottles of formula, and disposable diapers are not common sources of infection in the child's room as long as they are handled and disposed of properly. It is crucial to prioritize proper hygiene practices and regular cleaning of frequently touched surfaces like computer keyboards to prevent the spread of infections in healthcare settings.
Extract:
Four children on a pediatric unit
Question 3 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: D
Rationale: The correct answer is D: A toddler who has seasonal influenza. Droplet precautions are used for diseases transmitted through respiratory secretions within short distances. Influenza is primarily spread through droplets, making it necessary to protect others by wearing a mask and maintaining distance. Pediculosis capitis (lice), viral conjunctivitis, and hepatitis A are not transmitted through respiratory droplets, so droplet precautions are not needed.
Extract:
Toddlers receiving digoxin therapy
Question 4 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: D
Rationale: The correct answer is D. Vomiting can lead to reduced absorption of digoxin, affecting its therapeutic effect. This can result in suboptimal treatment and potential toxicity. Monitoring for vomiting is crucial when administering digoxin.
Choices A, B, and C indicate normal findings within the expected range for a toddler receiving digoxin therapy, so no revision is needed for those.
Extract:
School-age child receiving prednisolone
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 medication that can suppress the immune system, leading to delayed wound healing. The nurse should monitor for this adverse effect by assessing the child's wounds regularly for signs of slow healing.
Choices B, C, and D are incorrect because hypotension, Stevens-Johnson syndrome, and renal failure are not commonly associated with prednisolone use in school-age children. It is important for the nurse to focus on monitoring for the most relevant adverse effect to ensure the child's safety and well-being.