ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A school aged child with ADHD, prescribed dexamethylphenidate 10mg before breakfast and lunch.
Question 1 of 5
The nurse is assessing a school aged child with ADHD. The child is prescribed dexamethylphenidate 10mg before breakfast and lunch. Which of the following findings is of MOST concern to the nurse?
Correct Answer: C
Rationale: A blood pressure reading of 140/90 is concerning as it indicates hypertension, which can be a side effect of stimulant medications like dexamethylphenidate.
Extract:
A child hospitalized with acute glomerulonephritis.
Question 2 of 5
The parents of a child, hospitalized with acute glomerulonephritis, ask the nurse why blood pressure readings are being taken so often. Which of the following statements will guide the nurse's response to the parents?
Correct Answer: A
Rationale: Acute hypertension is a common complication of acute glomerulonephritis and requires frequent monitoring to prevent severe consequences.
Extract:
A school aged child with ADHD recently switched from methylphenidate to atomoxetine.
Question 3 of 5
A school aged child with ADHD was recently switched from a methylphenidate to atomoxetine. The nurse recognizes a need for further teaching when the parents make which of the following statements?
Correct Answer: B
Rationale: Atomoxetine is a non-stimulant medication for ADHD that must be taken consistently every day, not just on school days. This statement indicates a misunderstanding and a need for further teaching.
Extract:
A 1-month-old infant with a new ventriculoperitoneal shunt.
Question 4 of 5
The nurse is assessing a 1-month-old infant with a new ventriculoperitoneal shunt. Which of the following signs and symptoms in this infant is concerning for increased intracranial pressure? SELECT ALL THAT APPLY
Correct Answer: A,B,E
Rationale: Vomiting, poor feeding, and irritability can be signs of increased intracranial pressure in infants, indicating possible shunt malfunction or obstruction.
Extract:
A child with an intellectual disability due to Down's Syndrome.
Question 5 of 5
The nurse is caring for a child with an intellectual disability due to Down's Syndrome. The nurse understands that it is important to provide developmentally appropriate care. Which of the following will help to meet this need?
Correct Answer: B
Rationale: Assessing the child's level of mental maturity, self-help abilities, and habits helps the nurse to provide care that is appropriate to the child's developmental level and promotes independence.