ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Four children on a pediatric unit
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: D
Rationale: The correct answer is D: A toddler who has seasonal influenza. Droplet precautions are used for diseases transmitted through respiratory secretions within short distances. Influenza is primarily spread through droplets, making it necessary to protect others by wearing a mask and maintaining distance. Pediculosis capitis (lice), viral conjunctivitis, and hepatitis A are not transmitted through respiratory droplets, so droplet precautions are not needed.
Extract:
Toddlers receiving digoxin therapy
Question 2 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: D
Rationale: The correct answer is D. Vomiting can lead to reduced absorption of digoxin, affecting its therapeutic effect. This can result in suboptimal treatment and potential toxicity. Monitoring for vomiting is crucial when administering digoxin.
Choices A, B, and C indicate normal findings within the expected range for a toddler receiving digoxin therapy, so no revision is needed for those.
Extract:
School-age child receiving prednisolone
Question 3 of 5
A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Prolonged wound healing. Prednisolone is a corticosteroid medication that can suppress the immune system, leading to delayed wound healing. The nurse should monitor for this adverse effect by assessing the child's wounds regularly for signs of slow healing.
Choices B, C, and D are incorrect because hypotension, Stevens-Johnson syndrome, and renal failure are not commonly associated with prednisolone use in school-age children. It is important for the nurse to focus on monitoring for the most relevant adverse effect to ensure the child's safety and well-being.
Extract:
10-month-old infant having difficulty eating, fed goat milk
Question 4 of 5
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale:
Correct
Answer: B - Offer commercially prepared formula.
Rationale: Commercially prepared formula is specifically formulated to meet the nutritional needs of infants. Goat milk lacks essential nutrients such as folate and vitamin B12, which are crucial for infant growth and development. Switching to soy milk (choice
A) is not recommended as it may also lack essential nutrients and can cause allergies. Warming goat milk (choice
C) does not address the nutritional deficiencies. Reinitiating breastfeeding (choice
D) may not be feasible if the mother is unable to do so. Commercially prepared formula is the best option to ensure the infant receives proper nutrition.
Extract:
7-year-old child with diabetes mellitus
Question 5 of 5
A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: A
Rationale: The correct answer is A: Shakiness. Hypoglycemia occurs when blood sugar levels drop too low in individuals with diabetes mellitus. Shakiness is a common symptom due to the body's response to low glucose levels, triggering an increase in adrenaline. Decreased appetite and thirst are more indicative of hyperglycemia, where blood sugar levels are high. Increased capillary refill is not a typical manifestation of hypoglycemia but may indicate poor circulation or dehydration.