ATI RN
ATI RN Pediatric Nursing 2023 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: The correct answer is A, C, and E. A nurse should expect the provider to prescribe or reconcile water-soluble vitamins (
A) for children who may need additional supplementation. Dornase alfa (
C) is used to help improve lung function in children with cystic fibrosis. Pancreatic lipase (E) is prescribed for children with pancreatic insufficiency to aid in digestion. Meperidine (
D) is not commonly used in children due to safety concerns. Acetaminophen (
B) is a common medication for children, but its use should be confirmed with the provider to ensure appropriate dosing.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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