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: A. Children with cystic fibrosis often have pancreatic insufficiency, leading to malabsorption of fats and fat-soluble vitamins. Pancreatic lipase supplements are necessary to aid in the digestion of fats. B. Acetaminophen is an analgesic and antipyretic that has no effect on the underlying cause of cystic fibrosis. C. Deficient levels of vitamins A, D, E, and K indicate malabsorption, necessitating supplementation with water-soluble vitamins to address nutritional deficiencies. D. Meperidine is an opioid analgesic that can cause respiratory depression and increase the risk of pulmonary complications. E. Dornase alfa (Pulmozyme) is a recombinant human deoxyribonuclease enzyme used in the management of cystic fibrosis to improve pulmonary function by reducing the viscosity of mucus in the airways.
Extract:
Question 2 of 5
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider?
Correct Answer: A
Rationale: Tachypnea is a sign of respiratory distress and may indicate hypoxia, dehydration, or increased work of breathing. The nurse should report this finding to the provider and monitor the infant's oxygen saturation, heart rate, and respiratory rate. Coughing is a common symptom of RSV and may not require immediate reporting unless severe. Rhinorrhea (runny nose) is a common symptom of RSV and may not require immediate reporting unless severe. Pharyngitis (sore throat) is a common symptom of RSV but is not as urgent as tachypnea.
Question 3 of 5
A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Administering vaccines prior to discharge may be contraindicated in a child with neutropenia due to the risk of infection from live vaccines. Avoiding raw fruits and vegetables helps reduce the risk of exposure to harmful bacteria or pathogens that could lead to infection in a child with neutropenia, as their immune system is compromised. Bathing the child every other day is a general hygiene practice and does not specifically address the risk of infection associated with neutropenia. Obtaining the child's rectal temperature once daily is a routine assessment and does not directly address the risk of infection associated with neutropenia.
Question 4 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: B
Rationale: Preparing for a change in all routines may cause unnecessary anxiety for the child. Providing a doll allows the child to imitate parental behaviors, fostering a sense of involvement and understanding. Simply informing the child about a new playmate may not adequately prepare them for the arrival of a sibling. Waiting for the newborn to come home before transitioning the older child from a crib to a bed may not be necessary and could delay the transition unnecessarily.
Question 5 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: C
Rationale: Riding the bicycle against the flow of traffic increases the risk of accidents and is unsafe. Keeping the bicycle at least 3 feet is too far from the curb and exposes the child to more traffic hazards. This instruction helps to prevent collisions with cars or pedestrians at busy crossings. This is too high and makes it hard for the child to balance and control the bicycle.