ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the next dose as prescribed. This is the appropriate action because it follows the healthcare provider's orders, ensuring the patient receives the intended treatment. Increasing fluid intake (choice
A) may be beneficial in some cases but is not the immediate action required here. Giving an antiemetic (choice
B) may be necessary if the patient is experiencing nausea or vomiting, but it does not address the administration of the prescribed medication. Mixing the medication with formula (choice
D) is incorrect as it may alter the medication's effectiveness or cause interactions with the formula. Overall, following the healthcare provider's instructions (choice
C) is the most appropriate and safest action in this scenario.
Extract:
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy.
Question 2 of 5
Which of the following assessment findings is the priority?
Correct Answer: B
Rationale: The correct answer is B because frequent swallowing could indicate airway obstruction, requiring immediate attention to prevent respiratory distress. Throat pain (
A) can be managed with pain relief. Refusing clear liquids (
C) can be addressed once airway is secured. Crying often (
D) may be due to discomfort but doesn't indicate immediate danger.
Extract:
Question 3 of 5
A nurse is preparing to administer the influenza vaccine to a toddler. The prescription is written to administer the influenza vaccine subcutaneously. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Verifying a gelatin allergy is crucial, as some influenza vaccines contain gelatin as a stabilizer.
Extract:
A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B.
Question 4 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: C,D,E
Rationale: The correct actions for the nurse to take are C, D, and E. Beginning droplet precautions is essential to prevent the spread of respiratory infections. Monitoring oxygen saturation is crucial to assess respiratory function. Initiating IV access ensures access for emergency medication administration. Obtaining a throat culture (
A) is not necessary without signs of infection. Inspecting the epiglottis (
B) is not within the nurse's scope of practice.
Extract:
A nurse on a pediatric unit is caring for four children.
Question 5 of 5
The nurse should use droplet precautions for which of the following children?
Correct Answer: C
Rationale: The correct answer is C: A toddler who has seasonal influenza. Droplet precautions are used for infections transmitted through respiratory droplets. Seasonal influenza is a highly contagious respiratory illness spread through droplets.
Choice A (viral conjunctivitis) does not require droplet precautions as it is transmitted through direct contact with eye secretions.
Choice B (pediculosis capitis) is spread through direct head-to-head contact, not respiratory droplets.
Choice D (hepatitis
A) is transmitted through the fecal-oral route, not respiratory droplets.
Therefore, the correct choice is C as it aligns with the mode of transmission for droplet precautions.