ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale:
Correct Answer: A. Provide for periods of rest.
Rationale: Children with heart failure have reduced cardiac output, leading to fatigue. Providing periods of rest helps conserve energy and prevent exhaustion, improving the child's overall well-being and supporting cardiac function.
Summary of Incorrect
Choices:
B: Increasing oxygen flow rate based on cyanosis can lead to oxygen toxicity and is not a recommended approach for managing heart failure.
C: Digoxin is a crucial medication for heart failure management. Withholding it based solely on heart rate without consulting a healthcare provider can be dangerous.
D: Weighing the child once a month is not frequent enough for monitoring fluid status in heart failure, where daily weights are recommended.
Question 2 of 5
A nurse is providing teaching for a 20-year-old adolescent who has syphilis. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: I have to notify the public health department. This statement is crucial in managing syphilis as it is a reportable disease. By notifying the public health department, the nurse ensures proper tracking, monitoring, and treatment of the disease to prevent its spread. It also helps in identifying and notifying potential contacts for testing and treatment.
Choices A, C, and D are incorrect as they do not address the public health implications of syphilis and may not contribute to effective disease management.
Question 3 of 5
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider?
Correct Answer: D
Rationale: The correct answer is D: Tachypnea. In infants with respiratory syncytial virus (RSV), tachypnea (rapid breathing) is a concerning sign indicating respiratory distress and potential respiratory failure. Reporting this finding promptly to the provider is crucial for timely intervention. Rhinorrhea (
A), pharyngitis (
B), and coughing (
C) are common symptoms of RSV but do not signify immediate danger. Tachypnea (
D) requires urgent attention due to its association with respiratory compromise.
Question 4 of 5
A nurse is providing teaching to the parent of a school-age child who has a maintenance prescription for prednisone following an acute asthma attack. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "My child might experience mood swings." This statement indicates an understanding of the side effects of prednisone, which can include mood swings due to its impact on hormone levels. Mood swings are a common side effect of corticosteroids like prednisone.
Incorrect choices:
B: Taking the child for a weekly blood test is unnecessary for maintenance prednisone therapy.
C: Withholding medication before physical activity can be dangerous and is not recommended for maintenance therapy.
D: Prednisone can cause increased appetite rather than decreased appetite in some individuals.
In summary, understanding the potential side effects of prednisone, such as mood swings, is crucial for the parent to ensure proper monitoring and management of their child's health.
Extract:
Cerebrospinal fluid: Pressure: 22 cm H2O (less than 20 cm H2O), Color: Cloudy (clear or colorless), Blood: None (none), Cells RBC: 0 (0), WBC: 36 cells/mcL (0 to 30 cells/mcL), Protein: 92 mg/dL (up to 70 mg/dL), Glucose: 36 mg/dL (50 to 75 mg/dL), Serum glucose: 64 mg/dL (60 to 100 mg/dL).
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse to take is to administer ceftriaxone (choice
A). This is the correct answer because ceftriaxone is an antibiotic commonly used to treat bacterial infections, especially in cases of suspected sepsis or meningitis. Administering it promptly can help prevent the spread of infection and improve the patient's condition.
The other choices are incorrect because:
B: Administering a pneumococcal conjugate vaccine is not the immediate priority in this scenario where treatment for an existing infection is needed.
C: Initiation of serum glucose testing every 1 hr is not indicated without further context or rationale provided in the question.
D: Initiating neutropenic precautions is not necessary based on the information provided and is not a direct action to address the immediate issue at hand.