ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is caring for a group of toddlers receiving digoxin therapy.
Question 1 of 5
For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: D
Rationale: The correct answer is D: A toddler who has vomited 2 times in the last hour. Vomiting in a toddler can lead to dehydration and electrolyte imbalances, which can be potentially life-threatening. The nurse should revise the plan of care to address the vomiting and ensure hydration.
Choice A: A toddler with a digoxin level of 1.2 ng/mL falls within the therapeutic range, so the plan of care does not need revision based on this alone.
Choice B: An apical pulse of 100/min may be within the normal range for a toddler, so it does not necessarily warrant a revision of the plan of care.
Choice C: A potassium level of 4.0 mEq/L is within the normal range, so the plan of care does not need revision based on this parameter.
In summary, the nurse should revise the plan of care for the toddler who has vomited multiple times in the last hour to prevent dehydration and electrolyte imbalances
Extract:
Question 2 of 5
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Reposition the client using a turning sheet. This is important to prevent pressure injuries and promote circulation. Turning the client helps prevent complications such as pressure ulcers or respiratory issues. Encouraging flexion and extension of the neck (choice
A) is contraindicated with a halo vest as it can disrupt the stability provided by the device. Tightening the screws on the halo device (choice
B) should only be done by a healthcare provider and specific instructions given. Assessing pin sites for infection (choice
C) is important, but not as crucial as repositioning for overall client well-being.
Question 3 of 5
A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Avoid raw fruits and vegetables in the child's diet. Neutropenia is a condition characterized by a low neutrophil count, making the child more susceptible to infections. Raw fruits and vegetables may harbor bacteria, posing a risk of infection for the child with neutropenia.
Therefore, it is crucial to avoid these foods to reduce the risk of bacterial contamination. Administering vaccines (choice
A) may not be advisable due to the child's compromised immune system. Bathing the child every other day (choice
C) and obtaining rectal temperature once daily (choice
D) are not directly related to preventing infection in a child with neutropenia.
Extract:
History and Physical: School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamin A, D, E, and K. Barrel-shaped chest, Clubbing of the fingers bilaterally, Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough. Vital Signs: Temperature 38.4° C (101.1° F), Heart rate 100/min, Respiratory rate 40/min, Blood pressure 100/57 mm Hg. Laboratory Results: Sputum culture positive for Pseudomonas aeruginosa, Stool analysis positive for presence of fat and enzymes, Chest x-ray indicates obstructive emphysema, WBC count 20,000/mm3 (5,000 to 10,000/mm3).
Question 4 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
Correct Answer: B,D,E
Rationale: The correct answers are B (Dornase alfa), D (Water-soluble vitamins), and E (Pancreatic lipase). Dornase alfa is used in cystic fibrosis, water-soluble vitamins are commonly prescribed for children for overall health, and pancreatic lipase is used in pancreatic insufficiency. Meperidine is not typically prescribed for children due to safety concerns. Acetaminophen is a common over-the-counter medication that may or may not be on the home medication list. The nurse should not expect the provider to prescribe or reconcile meperidine, acetaminophen, or other unspecified medications from the list.
Extract:
Question 5 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: A
Rationale: The correct answer is A: Offer commercially prepared formula. Goat's milk is not recommended for infants under 1 year old due to inadequate nutrients and high protein content. Commercially prepared formula is specifically designed to meet the nutritional needs of infants. Switching to soy milk (
B) is not recommended due to potential allergies. Warming goat's milk (
C) does not address the nutritional deficiencies. Reinitiating breastfeeding (
D) may not be feasible or desired by the parent.