ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
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: A,C,E
Rationale:
Correct
Answer: A, C, E
Rationale:
A: Water-soluble vitamins are commonly prescribed or included in a child's home medication list for nutritional support.
C: Dornase alfa is a medication used to help clear mucus in patients with cystic fibrosis, so it would be expected in the child's medication list if they have this condition.
E: Pancreatic lipase is prescribed for children with pancreatic insufficiency to aid in digestion.
Summary of Incorrect
Choices:
B: Acetaminophen is a common over-the-counter pain reliever and fever reducer but may not always be part of a child's regular medication list.
D: Meperidine is a narcotic pain reliever that is not typically prescribed for children due to its potential side effects and risks.
Overall, choices B and D are less likely to be part of a child's routine medication list compared to choices A, C, and E, which are more common in pediatric cases.
Extract:
A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10. Vital Signs: Temperature 37.8° C (100° F), Heart rate 100/min, Blood pressure 110/72 mm Hg, Respiratory rate 20/min, Oxygen saturation 95% on room air. Assessment: Awake, alert, and oriented x 3, Yellow sclera of eyes noted bilaterally, Right upper quadrant tender to palpation, Hands painful to touch and swollen bilaterally, Right knee is swollen, warm to palpation, and the client reports pain as 8 on a scale of 0 to 10, Client is tearful and grimacing during the examination.
Question 2 of 5
The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.
Correct Answer: A,B,C,F
Rationale: The correct interventions are A, B, C, and F. A: Ensuring the pneumococcal vaccine is current helps prevent infections. B: Administering folic acid as prescribed supports the adolescent's growth and development. C: Monitoring oxygen saturation is crucial for detecting respiratory issues in adolescents. F: Administering meperidine IV for pain management is appropriate. Incorrect choices: D: Placing the client on strict bed rest may lead to deconditioning and complications. E: Applying cold compresses may not be appropriate for all conditions and could worsen inflammation. G: Restricting oral intake is not necessary unless there are specific medical indications.
Extract:
Question 3 of 5
A nurse is caring for a child who has disseminated intravascular coagulation. Which of the following laboratory findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Decreased platelet count. In disseminated intravascular coagulation (DI
C), there is widespread activation of the coagulation system, leading to the consumption of platelets and clotting factors. This results in a decreased platelet count. Option A, decreased prothrombin time, is incorrect because in DIC, there is actually an increased prothrombin time due to the consumption of clotting factors. Option B, increased Hgb level, is incorrect as DIC does not typically affect hemoglobin levels. Option C, increased RBC count, is incorrect as DIC does not affect red blood cell production.
Question 4 of 5
A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A. An 18-month-old toddler with a heart rate of 68/min is bradycardic for their age. Normal heart rate for toddlers is around 80-130/min. Bradycardia can indicate cardiac issues or other underlying conditions that need immediate attention. Reporting this finding to the provider is crucial for further evaluation and intervention.
Choice B is within the normal range for a school-age child's temperature.
Choice C shows a normal blood pressure for an adolescent.
Choice D is a normal respiratory rate for a 3-month-old infant.
Question 5 of 5
A nurse is providing teaching about injury prevention to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Check clothing for loose buttons. This is important because loose buttons can pose a choking hazard to toddlers. By checking and securing clothing items, parents can prevent accidental ingestion.
Choice B is incorrect as the recommended water heater temperature for safety is 49°C (120°F), not 54°C.
Choice C is relevant for preventing falls but not directly related to injury prevention from choking hazards.
Choice D is incorrect because balloons are a choking hazard for young children.