ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is teaching the parent of an infant who has a new diagnosis of heart failure about nutrition. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Allowing the infant to cry before feeding increases energy expenditure and may worsen fatigue in infants with heart failure. A recumbent position can increase the risk of aspiration; a semi-upright position is preferred. Implementing a 3-hour feeding schedule ensures the infant receives adequate nutrition without excessive fatigue. Feedings should be limited to 30 minutes to prevent excessive energy expenditure.
Question 2 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: B
Rationale: Unopened bottles of formula are not typically sources of healthcare-associated infections. Bedside computer keyboards can harbor pathogens and serve as fomites for transmitting infections. Disposable diapers are not typically sources of healthcare-associated infections if used appropriately. Protective plastic gowns are not typically sources of healthcare-associated infections if used appropriately.
Question 3 of 5
A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: While osteomyelitis is a serious condition requiring treatment, receiving an IV bolus of nafcillin is not an urgent procedure compared to a neurological symptom like slurred speech. Pain management is important, but a pain level of 7, while significant, does not indicate an immediate life-threatening situation. Slurred speech in an adolescent with sickle cell anemia could indicate a neurological complication or a stroke, which requires immediate assessment and intervention. Although the toddler with a partial-thickness burn needs care, it is not as urgent as assessing a potential neurological issue.
Extract:
History and Physical: A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10.
Question 4 of 5
Select the 5 interventions the nurse should include.
Correct Answer: B,C,D
Rationale: A. The nurse should not restrict oral intake, as hydration is important to prevent dehydration and further sickling. B. Hydroxyurea is used to prevent vaso-occlusive crises in patients with sickle cell disease but is not typically administered during an acute crisis; however, it may be reconciled from the home medication list. C. Meperidine (Demerol) is a potent opioid analgesic that can help alleviate severe pain associated with vaso-occlusive crises. D. Instructing the parent to ensure the pneumococcal vaccine is current is not an immediate priority but is important for long-term care.
Extract:
Question 5 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: D
Rationale: Stevens-Johnson syndrome is a severe, rare, and potentially life-threatening reaction that can occur as a hypersensitivity reaction to certain medications. However, it is not typically associated with morphine use. Morphine is more commonly associated with hypotension rather than hypertension. Morphine use is not typically associated with prolonged wound healing. Morphine is a potent opioid analgesic that can cause respiratory depression, leading to bradypnea (slow breathing) or even respiratory arrest.