ATI RN
ATI RN Pediatric Nursing 2023 II 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 vitamins 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
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: A,C,E
Rationale: The correct answer is A, C, and E.
A - Pancreatic lipase is commonly used to aid digestion in children with pancreatic insufficiency.
C - Water-soluble vitamins may be prescribed for children who have certain nutritional deficiencies or malabsorption issues.
E - Dornase alfa is used to help treat cystic fibrosis by reducing the thickness of mucus in the lungs.
B - Acetaminophen is a common over-the-counter pain reliever and fever reducer, not typically prescribed or reconciled in a child's medical record.
D - Meperidine is a narcotic analgesic with potential side effects and risks, not commonly prescribed for children.
Extract:
Question 2 of 5
A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Correct Answer: A
Rationale: The correct answer is A: Dietitian. The nurse should initiate a referral to a dietitian for a child with cystic fibrosis to ensure proper nutrition and weight management. Cystic fibrosis can affect the body's ability to absorb nutrients, so a dietitian can help develop a specialized diet plan. Occupational therapist (
B) focuses on daily activities, physical therapist (
D) focuses on mobility, and speech-language pathologist (
C) focuses on communication and swallowing - not directly related to cystic fibrosis nutritional needs.
Question 3 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 retention, and decreasing edema in patients with heart failure.
Therefore, if the medication is effective, the nurse should expect to see a reduction in peripheral edema as a result of the decreased fluid volume in the body.
Choices A, C, and D are incorrect because an increase in potassium levels, a decrease in cardiac output, and an increase in venous pressure are not expected outcomes of furosemide therapy and would actually indicate an ineffective treatment or potential complications.
Question 4 of 5
A nurse is preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?
Correct Answer: C
Rationale: The correct answer is C: Apply a topical anesthetic cream 1 hr prior to the procedure. This action ensures atraumatic care by numbing the area of the venipuncture, reducing pain and anxiety for the child. Asking the parent to leave (
A) may increase the child's anxiety. Performing the procedure in a playroom (
B) may not provide the necessary sterile conditions. Explaining the procedure to the child in detail hours before (
D) may not address the immediate anxiety and pain during the venipuncture.
Question 5 of 5
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Reposition the client using a turning sheet. When caring for a client with a halo vest, repositioning using a turning sheet helps prevent skin breakdown and pressure ulcers. This action maintains proper alignment of the halo device and reduces the risk of complications. Encouraging flexion and extension of the neck (
Choice
A) is contraindicated as it can disrupt the stability of the halo device and potentially cause harm. Assessing the pin sites for infection once every other day (
Choice
C) is important but not the priority action in this scenario. Tightening the screws on the halo device (
Choice
D) should only be done by healthcare professionals as per specific instructions.