Questions 76

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ATI RN Test Bank

ATI RN Pediatrics Nursing 2023 Questions

Extract:

A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy.


Question 1 of 5

Which of the following assessment findings is the priority?

Correct Answer: B

Rationale: Pain is expected and manageable. Frequent swallowing suggests bleeding, a critical post-tonsillectomy complication. Refusal to drink or crying are less urgent than potential hemorrhage.

Extract:

A nurse is caring for a 10-year-old child who is receiving chemotherapy. The child's guardian asks about managing adverse effects.


Question 2 of 5

Which of the following statements should the nurse make?

Correct Answer: D

Rationale: Chlorhexidine may irritate stomatitis. Antiemetics are needed before, during, and after chemotherapy. Favorite foods may not suit dietary needs. A soft toothbrush prevents bleeding with low platelets.

Extract:

A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia.


Question 3 of 5

Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?

Correct Answer: B

Rationale: Low hemoglobin indicates anemia, not improvement. A normal RBC count suggests treatment is stabilizing red cell production, indicating a therapeutic effect. Elevated WBC may reflect disease activity or infection, not necessarily success. Low platelets suggest ongoing issues, not improvement.

Extract:

A nurse is caring for an infant who has heart failure and vomited following administration of digoxin.


Question 4 of 5

Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Increased fluids risk overload. Antiemetics need provider approval. Administer the next dose on schedule; don't repeat vomited doses. Mixing with large formula volumes affects absorption.

Extract:

A nurse is caring for a group of clients on a pediatric unit.


Question 5 of 5

Which of the following clients is most at risk for insufficient vascular perfusion?

Correct Answer: D

Rationale: UTIs, IV fluids, and otitis media don't typically impair perfusion. A spica cast risks vascular compression, leading to perfusion issues like compartment syndrome.

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