ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A child suspected to have suffered child abuse.
Question 1 of 5
The nurse is assessing a child who is suspected to have suffered child abuse. Which of the following statements demonstrate therapeutic communication when interacting with the child?
Correct Answer: D
Rationale: Reassuring the child that they are not to blame is supportive and helps to build trust, encouraging the child to feel safe in sharing information.
Extract:
Antibiotic infusion via syringe pump, total volume 18 mL, to run over 90 minutes.
Question 2 of 5
The nurse must administer the following antibiotic via syringe pump. The infusion is to run over 90 minutes. The nurse calculates the infusion rate and sets the pump for the following rate
Correct Answer: 12 mL/hr
Rationale:
Total volume is 18 mL over 90 minutes (1.5 hours). Rate = 18 mL / 1.5 hours = 12 mL/hour.
Extract:
A child post bone marrow transplantation diagnosed with graft versus host disease.
Question 3 of 5
The nurse is caring for a child post bone marrow transplantation who has been diagnosed with graft versus host disease. The parents ask the nurse how this will be treated. Which of the following would be the nurse's BEST response?
Correct Answer: D
Rationale: The most common initial treatment for GVHD involves steroids and immunosuppressive drugs. This response provides accurate information and addresses the parents' concerns.
Extract:
A 5-month-old infant scheduled for a lumbar puncture to rule out meningitis.
Question 4 of 5
A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions is the MOST important for the nurse to include in the plan of care?
Correct Answer: C
Rationale: Holding the infant in the correct position (chin to chest and knees to abdomen) is crucial for obtaining an accurate sample of cerebrospinal fluid and ensuring the procedure is performed safely.
Extract:
A 6-year-old child with Sickle Cell Anemia admitted for vaso-occlusive crisis, complaining of pain in the abdomen, right tibia, and headache, pain level 10 on FACES Pain Scale, with tender abdomen, warm and tender right tibia, and history of multiple crises.
Question 5 of 5
The nurse is planning the nursing care for this child and anticipates which of the following to be a part of the plan of care for a child in vaso-occlusive crisis? For each potential intervention, click to specify if the intervention is anticipated or contraindicated.
Correct Answer: A,B,C
Rationale: Monitor RLE pulses, administer oxycodone for pain, and continue IV fluids are anticipated to assess perfusion, manage pain, and maintain hydration. Decreasing oxygen is contraindicated as adequate oxygenation is crucial to prevent further sickling.