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: 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:
A nurse is teaching a newly licensed nurse about infant safety.
Question 2 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: C. Providing a one-piece pacifier is a safe practice since it prevents the pacifier from breaking apart and causing a choking hazard. A. Placing a 5-month-old in a high chair is unsafe due to fall or choking risks. B. A soft mattress increases the risk of sudden infant death syndrome (SIDS). D. Securing a car seat behind an airbag is dangerous due to injury risk.
Extract:
A nurse is providing teaching to a 15-year-old adolescent about a medication used to treat a sexually transmitted infection.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: D. Asking how the client prefers to learn new information demonstrates respect for the adolescent's autonomy and preferences, facilitating effective communication and understanding. A, B, C. These do not prioritize the adolescent's involvement or preferences.
Extract:
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax.
Question 4 of 5
Which of the following oils should the nurse recommend?
Correct Answer: A
Rationale: A. Lavender oil is commonly used for relaxation and calming effects. B. Eucalyptus oil is used for respiratory issues. C. Jasmine oil is aromatic but less effective for relaxation. D. Tea tree oil is antimicrobial, not relaxing.
Extract:
A nurse is providing teaching to the parents of a child who has impetigo.
Question 5 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: A. Applying bactericidal ointment to lesions helps treat impetigo by killing the bacteria causing the infection. B. Acyclovir is for viral infections. C, D. These are not necessary for impetigo treatment.