ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Riding the bicycle against the flow of traffic increases the risk of accidents and is unsafe. Keeping the bicycle at least 3 feet is too far from the curb and exposes the child to more traffic hazards. This instruction helps to prevent collisions with cars or pedestrians at busy crossings. This is too high and makes it hard for the child to balance and control the bicycle.
Question 2 of 5
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: C
Rationale: A low hemoglobin level indicates anemia, which is common in leukemia but does not necessarily indicate treatment effectiveness. A low platelet count is a sign of bone marrow suppression, which is a common side effect of chemotherapy for leukemia. A normal RBC count indicates that the child's bone marrow is producing enough red blood cells to carry oxygen throughout the body. Elevated WBC count is typical in leukemia and does not necessarily indicate treatment effectiveness.
Question 3 of 5
A nurse is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: No head lag when pulled to a sitting position is a normal finding at 4 months of age. They should not have doll's eye reflex intact, which means that their eyes move in the opposite direction of their head when turned. This reflex normally disappears by 3 months of age and its persistence may indicate brain damage. The presence of tears when crying is a normal finding at 4 months of age. They should also have positive Babinski reflex, which means that their toes fan out when their sole is stroked. This reflex normally disappears by 12 months of age.
Question 4 of 5
A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Vomiting may occur with various gastrointestinal conditions but is not a specific finding associated with necrotizing enterocolitis. Bloody stools are more characteristic of this condition. Hypertension is not typically associated with necrotizing enterocolitis. Instead, infants may present with hypotension due to sepsis or shock. A rounded abdomen is a common finding in necrotizing enterocolitis due to abdominal distention from gas and fluid accumulation in the intestines. Tachypnea may occur as a result of sepsis or respiratory distress but is not specific to necrotizing enterocolitis.
Question 5 of 5
A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: A
Rationale: Vomiting is a sign of potential digoxin toxicity, and the nurse should revise the plan of care for this toddler. This digoxin level is within the therapeutic range. An apical pulse of 100/min could be normal for a toddler, but it should be monitored closely in the context of digoxin therapy. This potassium level is within the normal range.