ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?
Correct Answer: C
Rationale: A. Pediculosis capitis (head lice) does not require droplet precautions. B. Viral conjunctivitis is typically transmitted through contact precautions rather than droplet precautions. C. Seasonal influenza is transmitted via respiratory droplets, necessitating droplet precautions to prevent transmission. D. Hepatitis A is transmitted via the fecal-oral route and does not require droplet precautions.
Question 2 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a nonpharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: C
Rationale: A. Visual analog scales may not be appropriate for toddlers who are cognitively impaired and unable to understand abstract concepts. B. FACES pain scale relies on the child's ability to express emotions through facial expressions, which may be limited in cognitively impaired toddlers. C. FLACC (Face, Legs, Activity, Cry, Consolability) pain scale is a validated tool for assessing pain in young children, including those who are cognitively impaired. D. CRIES pain scale is typically used for neonates and infants up to 6 months of age and may not be suitable for toddlers.
Question 3 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: A. Vomiting can lead to decreased absorption of digoxin, potentially resulting in subtherapeutic levels and inadequate therapeutic effect. The plan of care should be revised to address the vomiting and consider alternative routes of administration or doses. B. A digoxin level within the therapeutic range indicates adequate drug absorption and effectiveness. C. An apical pulse of 100/min is within the expected range for toddlers and does not necessarily require a revision of the plan of care related to digoxin therapy. D. A potassium level within the normal range is desirable and does not necessarily require a revision of the plan of care related to digoxin therapy.
Question 4 of 5
A nurse is planning care for a preschooler who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: A. Maintaining extended eye contact may be uncomfortable or overwhelming for a child with autism spectrum disorder (AS
D) and may not be an appropriate intervention. B. Establishing a reward system can help reinforce positive behaviors and encourage desired outcomes in children with ASD. C. Engaging in cooperative play may be challenging for a child with ASD due to difficulties with social interaction and communication. D. Holding the child during assessments may cause distress or discomfort for a child with ASD and may not be necessary for the assessment process.
Question 5 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: D
Rationale: A. Providing a warm blanket can help alleviate discomfort associated with fever and chills, which are common symptoms of varicella, but it is not the priority intervention. B. Koplik spots are seen in measles, not varicella. C. Aspirin administration is contraindicated in varicella due to the risk of Reye's syndrome. Acetaminophen or ibuprofen may be used for fever. D. Varicella is spread through respiratory droplets and direct contact, so airborne precautions are necessary to prevent transmission.