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:
Question 2 of 5
A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Apply bactericidal ointment to lesions. Impetigo is a bacterial skin infection, so applying a bactericidal ointment helps kill the bacteria and promote healing. This instruction directly targets the infection.
Incorrect choices:
B: Administering acyclovir is for viral infections, not bacterial impetigo.
C: Soaking hairbrushes in boiling water is more for lice infestation, not impetigo.
D: Sealing soft toys is unnecessary for impetigo transmission since it is primarily spread through direct contact.
Question 3 of 5
A nurse is teaching the parents of a child who has cystic fibrosis about home care following discharge. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Your child should take pancreatic enzymes with meals and snacks. This is because cystic fibrosis affects the pancreas, leading to difficulty digesting food. Pancreatic enzymes help the body break down and absorb nutrients properly.
A is incorrect as chest x-rays are not routinely done for monitoring cystic fibrosis.
B is incorrect as tonsil and adenoid removal is not directly related to cystic fibrosis.
D is incorrect as isoniazid is used to treat tuberculosis, not cystic fibrosis.
In summary, the correct answer emphasizes the importance of pancreatic enzyme replacement therapy in managing cystic fibrosis, while the other choices are unrelated or incorrect in the context of cystic fibrosis management.
Question 4 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.
Question 5 of 5
A nurse is assessing a school-age child who is receiving cefazolin. For which of the following adverse effects should the nurse monitor?
Correct Answer: C
Rationale: The correct answer is C: Stevens-Johnson syndrome. Cefazolin is associated with severe skin reactions like Stevens-Johnson syndrome, a rare but serious condition characterized by blistering and peeling of the skin. The nurse should monitor for symptoms such as rash, blistering, mucosal involvement, and fever. Hypotension, prolonged wound healing, and bradypnea are not commonly associated adverse effects of cefazolin. Hypotension may be more common with other antibiotics like vancomycin. Prolonged wound healing is not a typical adverse effect of cefazolin but could occur in the context of an infection that is not being adequately treated. Bradypnea is not a known adverse effect of cefazolin.