ATI RN
ATI RN Pediatrics Nursing 2023 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: The correct answer is C: Implement a 3-hr feeding schedule. Infants with heart failure may have decreased appetite and fatigue. Implementing a 3-hour feeding schedule helps prevent overfeeding and ensures adequate nutrition without overwhelming the infant. This approach also allows for rest periods between feedings to help conserve energy.
Choice A is incorrect because allowing the infant to self-soothe by crying prior to feeding can increase stress levels, which is not recommended for infants with heart failure.
Choice B is incorrect as infants with heart failure may tire easily, so feeding for 45 minutes at a time may be too long and exhausting for them.
Choice D is incorrect as placing the infant in a recumbent position during feeding can increase the risk of aspiration, especially in infants with heart failure.
Question 2 of 5
A nurse is admitting a child who has erythema infectiosum. Which of the following transmission-based precautions should the nurse initiate?
Correct Answer: A
Rationale: The correct answer is A: Droplet precautions. Erythema infectiosum, also known as Fifth disease, is primarily transmitted through respiratory secretions. Droplet precautions are necessary to prevent the spread of the virus through droplets when the child coughs or sneezes. This precaution includes wearing a mask and ensuring proper hand hygiene.
Other choices are incorrect because:
B: Airborne precautions are for diseases transmitted through small droplet nuclei that remain suspended in the air for long periods, such as tuberculosis.
C: Contact precautions are for diseases spread by direct contact with an infected person or surfaces, like MRSA.
D: Protective environment precautions are used for immunocompromised patients to protect them from environmental pathogens.
Question 3 of 5
A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?
Correct Answer: C
Rationale: The correct answer is C: Initiate airborne precautions. Varicella, commonly known as chickenpox, is highly contagious and spreads through airborne droplets. By initiating airborne precautions, the nurse helps prevent the transmission of the virus to others. Providing a warm blanket (
A) may be comforting but does not directly address the contagious nature of varicella. Assessing for Koplik spots (
B) is related to measles, not varicella. Administering aspirin for fever (
D) is contraindicated in children with varicella due to the risk of Reye's syndrome.
Question 4 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: You can choose which leg you get your medicine in. This statement empowers the child by giving them a sense of control over the situation, promoting cooperation and reducing anxiety. It is important to involve children in decision-making whenever possible to help them feel more comfortable during procedures.
Choices B, C, and D are incorrect because they do not address the child's need for autonomy and may not effectively prepare the child for the injection.
Choice B offers a reward for not crying, which can create a negative association with the injection.
Choice C minimizes the potential discomfort of the injection, which may not be accurate for every child.
Choice D oversimplifies the purpose of the medication and may not provide a clear understanding for the child.
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: A
Rationale:
Correct
Answer: A (Bradypnea)
Rationale:
1. Morphine is an opioid analgesic that can cause respiratory depression.
2. Bradypnea (slow breathing) is a common adverse effect of opioids.
3. Monitoring for bradypnea is crucial to prevent respiratory compromise and overdose.
4. Stevens-Johnson syndrome, prolonged wound healing, and hypertension are not typical adverse effects of morphine.
5. Bradypnea is the priority adverse effect to monitor due to its life-threatening nature.