ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Keep electrical wires hidden from view. This is important to prevent toddlers from touching or playing with exposed wires, which can lead to electrical burns. By keeping wires hidden, the risk of burns from electrical accidents is minimized. Setting the water heater to 60°C (140°F) (choice
A) can actually increase the risk of scald burns. Turning pot handles toward the front of the stove (choice
B) can lead to accidental spills and burns. Encouraging outdoor activities between certain hours (choice
C) does not directly address burn prevention.
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.
Question 3 of 5
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Offer commercially prepared formula. Goat's milk is not recommended for infants under 1 year old due to inadequate nutrients and high protein content. Commercially prepared formula is specifically designed to meet the nutritional needs of infants. Switching to soy milk (
B) is not recommended due to potential allergies. Warming goat's milk (
C) does not address the nutritional deficiencies. Reinitiating breastfeeding (
D) may not be feasible or desired by the parent.
Question 4 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: Walking the bicycle through intersections is a crucial safety measure to prevent accidents. This instruction ensures that the child is visible to drivers and reduces the risk of collisions. Additionally, walking the bicycle allows the child to have better control and stability while navigating intersections.
Incorrect
Choices:
A: Incorrect because the child's feet should be able to touch the ground comfortably while seated on the bicycle for stability and safety.
C: Incorrect because riding the bicycle against the flow of traffic increases the risk of accidents as drivers may not anticipate the child's movements.
D: Incorrect because keeping the bicycle at least 3 feet from the curb is a guideline for riding on the street, not for general bicycle safety.
E, F, G: No other options provided.
Extract:
Nurses' Notes: 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter. Medical History: 0930: Three urinary tract infections over the past year treated with antibiotics. Diagnosed at 6 months old with vesicoureteral reflux. Provider Prescriptions: 0945: Obtain urine sample for urinalysis and culture and sensitivity via sterile straight catheter. Vital Signs: 0930: Temperature 38.4° C (101.1 F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results: 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).
Question 5 of 5
The child is at risk for developing __ and __.
Correct Answer: A,B
Rationale: The correct answer is A,B. Renal scarring and pyelonephritis are common complications of urinary tract infections (UTIs) in children. UTIs can lead to inflammation and infection of the kidneys (pyelonephritis) and if left untreated, can cause permanent damage to the kidneys resulting in renal scarring. Acute glomerulonephritis, nephrotic syndrome, and polycystic kidney disease are not typically associated with UTIs in children and are different conditions with distinct etiologies and presentations.
Therefore, choices C, D, and E are incorrect in this context.