ATI RN
ATI Nur307 Pediatrics Quiz Questions
Extract:
History and Physical: School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamin A, D, E, and K. Barrel-shaped chest, Clubbing of the fingers bilaterally, Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough. Vital Signs: Temperature 38.4° C (101.1° F), Heart rate 100/min, Respiratory rate 40/min, Blood pressure 100/57 mm Hg. Laboratory Results: Sputum culture positive for Pseudomonas aeruginosa, Stool analysis positive for presence of fat and enzymes, Chest x-ray indicates obstructive emphysema, WBC count 20,000/mm3 (5,000 to 10,000/mm3).
Question 1 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
Correct Answer: B,D,E
Rationale: The correct answer is B, D, and E. Dornase alfa is used for cystic fibrosis, water-soluble vitamins are commonly prescribed for children, and pancreatic lipase aids in digestion. Meperidine is not typically used in pediatrics, acetaminophen is a common over-the-counter medication but may not always be prescribed or reconciled, and the last options are not commonly prescribed medications for children.
Therefore, choices A, C, F, and G are incorrect.
Extract:
Question 2 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:
Correct
Answer: C
Rationale:
1. Providing a doll for the 3-year-old child to imitate parental behaviors helps them understand and prepare for the arrival of a new sibling by role-playing.
2. This activity allows the child to express emotions, practice caregiving skills, and feel involved in the process.
3. It fosters a sense of responsibility and helps the child adjust to the new family dynamic.
4. Options A and B do not focus on preparing the child for the arrival of the new sibling and may not be as effective.
5. Option D is not directly related to preparing the child for the new sibling but focuses on a separate issue of transitioning from a crib to a bed.
Question 3 of 5
A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Initiate contact isolation precautions. Impetigo contagiosa is highly contagious, requiring contact isolation to prevent its spread to other patients and healthcare workers. By isolating the child, the nurse can minimize the risk of transmission. Reporting to the state health department (
B) is not necessary for impetigo. Administering amphotericin B IV (
C) is not indicated for impetigo as it is an antifungal medication. Applying lidocaine ointment topically (
D) is not appropriate for impetigo, as it is a local anesthetic and will not treat the infection.
Question 4 of 5
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: A
Rationale: The correct answer is A: Clear urine. In acute poststreptococcal glomerulonephritis, the hallmark sign of effective treatment is the clearance of blood and protein from the urine, leading to clear urine. This indicates that the inflammation in the glomeruli has reduced, allowing normal filtration of the blood. The other choices are incorrect because:
B) Pain with voiding is not a typical symptom of glomerulonephritis;
C) Odorless urine is not a specific indicator of treatment effectiveness in this condition;
D) Temperature within normal range is a general indicator of health but not specific to this condition.
Question 5 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a non-pharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: D
Rationale: The correct answer is D: FLACC. FLACC stands for Face, Legs, Activity, Cry, and Consolability, which assesses pain in nonverbal individuals like toddlers. This scale considers behavioral indicators like facial expressions, leg movement, activity level, crying, and ability to be consoled. This comprehensive approach is suitable for cognitively impaired toddlers who may not be able to communicate verbally.
A: CRIES is more suitable for infants.
B: FACES is used for individuals who can self-report pain.
C: Visual analog scale requires self-reporting and is not suitable for toddlers with cognitive impairments.