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: A. Deficient levels of vitamins A, D, E, and K indicate malabsorption, necessitating supplementation with water-soluble vitamins to address nutritional deficiencies. B. Acetaminophen is an analgesic and antipyretic that has no effect on the underlying cause of cystic fibrosis. C. 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. D. Meperidine is an opioid analgesic that can cause respiratory depression and increase the risk of pulmonary complications. E. 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.
Extract:
Question 2 of 5
A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: A. Observing the child's throat with a flashlight is necessary to detect any bleeding, which is a priority concern post-tonsillectomy. B, C, D. These actions follow assessment for bleeding.
Question 3 of 5
A nurse is performing a cranial nerve assessment on a school-age child. Which of the following findings indicates proper functioning of the child's trigeminal nerve?
Correct Answer: D
Rationale: D. The trigeminal nerve (cranial nerve V) innervates the muscles of mastication, and symmetrical jaw strength when biting down indicates proper functioning of this nerve. A. Balance relates to cranial nerve VIII. B. Gag reflex involves cranial nerve IX. C. Scents relate to cranial nerve I.
Question 4 of 5
A charge nurse is observing a staff nurse who is caring for a child who has pertussis. Which of the following actions by the staff nurse indicates an understanding of infection control practices?
Correct Answer: A
Rationale: A. Maintaining droplet precautions while the child is coughing and sneezing is appropriate because pertussis is primarily transmitted via respiratory droplets. B. Applying a mask after entering is incorrect timing. C. Gloves are not specific to pertussis transmission. D. Airborne precautions are not needed for pertussis.
Question 5 of 5
A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: A. Checking the pH of the gastric secretions is the priority action to confirm the correct placement of the NG tube in the stomach before administering the enteral feeding. B, C, D. These actions follow confirmation of tube placement.