ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
History and Physical: A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10.
Question 1 of 5
Select the 5 interventions the nurse should include.
Correct Answer: B,C,D
Rationale: The correct interventions are B, C, and D. B: Hydroxyurea helps decrease sickle cell crisis frequency. C: Meperidine is used for pain management in sickle cell disease. D: Pneumococcal vaccine helps prevent infections. A is incorrect as oral intake should not be restricted in sickle cell crisis. E, F, and G are not provided in the question.
Extract:
Question 2 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Your child should walk the bicycle through intersections. This instruction is crucial for bicycle safety as it reduces the risk of accidents at intersections where visibility may be limited. Walking the bicycle allows the child to be more aware of their surroundings and potential hazards.
Choice A is incorrect because a child should always ride the bicycle with traffic flow, not against it, to avoid collisions with oncoming vehicles.
Choice B is incorrect as keeping the bicycle at least 3 feet from the curb may actually increase the risk of collisions with vehicles or obstacles on the road. Riding closer to the curb is safer.
Choice D is incorrect as the child's feet should be able to touch the ground while seated on the bicycle for stability and control, not 3 to 6 inches off the ground.
Overall, the correct answer emphasizes safety and awareness at intersections, making it the most appropriate choice for teaching bicycle safety to a child.
Question 3 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: The correct answer is C. Droplet precautions are indicated for seasonal influenza due to the potential for transmission through respiratory droplets. The nurse should wear a mask when in close contact with the toddler to prevent the spread of the virus. Pediculosis capitis (lice), viral conjunctivitis, and hepatitis A do not require droplet precautions as they are not primarily transmitted through respiratory droplets. Lice are transmitted through direct contact, conjunctivitis through contaminated surfaces or personal contact, and hepatitis A through the fecal-oral route. In summary, only the toddler with seasonal influenza requires droplet precautions, while the other options do not warrant such measures.
Question 4 of 5
A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 12.5
Rationale:
To calculate the correct dose, first convert the child's weight from lb to kg: 55 lb/2.2 = 25 kg. Next, calculate the dose: 10 mg/kg x 25 kg = 250 mg.
Then, determine how many mL of the solution to administer: 100 mg/5 mL = 250 mg/x mL. Cross multiply: 100x = 1250. Divide by 100 to find x = 12.5 mL.
Therefore, the nurse should administer 12.5 mL.
Choice A: Incorrect. This choice does not provide a calculated answer.
Choice B-G: Irrelevant as they do not offer a numerical answer or any calculation rationale.
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 vitamins 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
Question 5 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: A,C,E
Rationale: The correct answer is A, C, and E.
A - Pancreatic lipase is commonly used to aid digestion in children with pancreatic insufficiency.
C - Water-soluble vitamins may be prescribed for children who have certain nutritional deficiencies or malabsorption issues.
E - Dornase alfa is used to help treat cystic fibrosis by reducing the thickness of mucus in the lungs.
B - Acetaminophen is a common over-the-counter pain reliever and fever reducer, not typically prescribed or reconciled in a child's medical record.
D - Meperidine is a narcotic analgesic with potential side effects and risks, not commonly prescribed for children.