ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is reviewing the laboratory results of a preschool-age child who has iron deficiency anemia.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A - Request a provider prescription for ferrous sulfate.
Rationale: The nurse should request a prescription for ferrous sulfate as it is commonly used to treat iron deficiency anemia. By obtaining a prescription, the nurse can ensure that the appropriate dosage and monitoring are in place to address the underlying condition effectively.
Summary of other choices:
B: Administering factor VII concentrate is not appropriate without indication of a coagulation disorder.
C: While promoting oral hygiene is important, the use of a soft sponge toothbrush does not address any immediate medical need.
D: Placing the child in protective precautions is too vague and not specific to the given scenario about the action needed by the nurse.
Extract:
A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs.
Question 2 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Infuse each unit of blood within 4 hr. This is crucial to prevent bacterial contamination and ensure blood product integrity. Storing blood at room temperature for too long (
A) can promote bacterial growth. Administering RBCs with non-filtered IV tubing (
C) can lead to potential infusion reactions due to the presence of microaggregates. Infusing dextrose 5% in water during packed RBC infusion (
D) can cause hemolysis due to the low osmolarity of the solution.
Extract:
A nurse is preparing to administer an IM injection to a 3-year-old child.
Question 3 of 5
Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C because it empowers the patient by providing autonomy in decision-making, which enhances their sense of control and involvement in their care. Offering the choice of which leg to receive the medicine in promotes patient-centered care. Option A is manipulative and uses rewards to control behavior. Option B oversimplifies the effects of the medication. Option D minimizes the discomfort of the injection.
Extract:
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a non-pharmacologic intervention.
Question 4 of 5
Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: A
Rationale: The correct answer is A: FLACC. FLACC (Face, Legs, Activity, Cry, Consolability) scale is specifically designed for assessing pain in nonverbal patients like toddlers. It evaluates different indicators of pain behavior, providing a comprehensive assessment. FACES and Visual analog scales are more suitable for older children or adults as they require self-reporting. CRIES scale is used for neonates, not toddlers. Using FLACC ensures accurate pain assessment in toddlers.
Extract:
Question 5 of 5
A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: C
Rationale: The correct answer is C. Vomiting can lead to decreased absorption of digoxin, potentially causing subtherapeutic levels and reducing the medication's effectiveness. A consistent therapeutic level of digoxin is vital for its intended therapeutic effects, such as improving cardiac output and reducing heart rate. Monitoring for signs of toxicity is crucial, but in this case, the nurse should prioritize addressing the vomiting episode to ensure proper drug absorption and efficacy.
Choices A, B, and D do not warrant a revision of the care plan as the apical pulse, potassium level, and digoxin level are within acceptable ranges.