ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is teaching a child who has asthma about using a metered-dose inhaler with a mouthpiece.
Question 1 of 5
Identify the sequence of steps the nurse should instruct the child to take.
Correct Answer: A,C,B,D
Rationale: The correct order is A, C, B, D. First, the child should depress the canister while inhaling slowly (
A) to ensure proper medication delivery. Holding the breath for 10 seconds (
C) allows for optimal absorption. Removing the inhaler from the mouth (
B) prevents further inhalation. Finally, exhaling slowly through the nose (
D) helps in maintaining the medication in the respiratory tract. Other choices are incorrect as they do not follow the logical sequence required for effective inhaler use.
Extract:
Question 2 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 that can suppress the immune system, leading to delayed wound healing. The nurse should monitor for this adverse effect by observing the child's wound healing progress.
Choice B, hypotension, is not a common adverse effect of prednisolone.
Choice C, Stevens-Johnson syndrome, is a severe skin reaction typically caused by medications like sulfonamides, not corticosteroids.
Choice D, renal failure, is also not a common adverse effect of prednisolone. Monitoring for prolonged wound healing is crucial to prevent complications and ensure the child's well-being.
Question 3 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicates the treatment is effective?
Correct Answer: D
Rationale: The correct answer is D because holding urine for about 15 minutes before going to the bathroom is an indication of improved bladder control, which is the goal of conditioning therapy for enuresis. This demonstrates that the child is developing the ability to delay urination, a key aspect of the treatment.
Choice A is incorrect because going to the bathroom immediately when the alarm goes off does not show improved bladder control.
Choice B is incorrect as drinking less may not necessarily indicate treatment effectiveness.
Choice C is incorrect as Kegel exercises are not typically part of conditioning therapy for enuresis.
Extract:
A nurse is preparing to collect a capillary blood specimen from the heel of a 4-month-old infant.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B because puncturing the outer aspect of the heel is the appropriate technique for obtaining a blood sample in a heel stick procedure. This area has a rich blood supply, making it ideal for sampling.
Choice A is incorrect because applying a cool pack can cause vasoconstriction, making it harder to obtain a sample.
Choice C is incorrect as using a surgical blade is not recommended due to the risk of injury and contamination.
Choice D is incorrect because wiping the site with alcohol after the puncture can introduce contaminants. Overall, puncturing the outer aspect of the heel is the safest and most effective method for obtaining a blood sample in this scenario.
Extract:
A nurse is caring for an infant who has necrotizing enterocolitis.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Rounded abdomen. In a pediatric patient with nephrotic syndrome, a rounded abdomen is a common finding due to ascites caused by hypoalbuminemia. This occurs because the kidneys lose protein, leading to fluid retention in the abdomen. Vomiting (
A) is not a typical finding in nephrotic syndrome. Hypertension (
B) is not a typical finding in nephrotic syndrome but rather can be seen in other renal disorders. Tachypnea (
D) is not a common finding in nephrotic syndrome unless there is severe fluid overload.