ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is caring for a school-age child who has heart failure.
Question 1 of 5
Which of the following interventions should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D: Consolidate activities to promote the child's rest. This intervention is appropriate for a child who needs rest to recover from an illness or injury. By consolidating activities, the child can conserve energy and promote healing.
Choice A is incorrect because live virus vaccines are generally safe and effective for healthy children.
Choice B is incorrect as daily weighing may not be necessary and could cause unnecessary stress.
Choice C is incorrect as sleeping in an air-conditioned room may not be essential for the child's recovery.
Extract:
A nurse is planning a staff in-service about infection control measures to prevent the spread of influenza in school-age children.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: "Wear a face mask when working within 3 feet of a child who is infected." This instruction is important in preventing the spread of infectious diseases like influenza. Wearing a face mask helps to reduce the risk of inhaling respiratory droplets containing the virus. It is a crucial infection control measure for healthcare workers to protect themselves and others.
Choice B is incorrect because administering antibacterial medication is not the standard treatment for influenza, which is caused by a virus, not bacteria.
Choice C is incorrect as children are typically considered infectious for around 5-7 days, not 14 days.
Choice D is incorrect as the influenza vaccine is typically administered annually, not every 6 months.
Extract:
A nurse is caring for an 11-year-old child who has type 1 diabetes mellitus and receives insulin injections. The child is experiencing an altered mental status, diaphoresis, and tremors.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Give the child 3 to 6 oz of orange juice. This is the correct action because the child is likely experiencing hypoglycemia, and orange juice contains fast-acting sugar that can quickly raise blood glucose levels. Giving a candy bar (
B) is not recommended as it may contain fats that slow down sugar absorption. Administering glucagon (
C) would be appropriate if the child is unconscious, which is not indicated in the question. Administering D5W intravenous fluids (
D) is not the first-line treatment for hypoglycemia in a conscious child.
Extract:
A nurse is admitting a school-age child who has osteomyelitis.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The nurse should first obtain a blood culture because it is crucial in identifying the causative organism in a suspected infection. This step helps guide appropriate antibiotic therapy promptly. Requesting a referral for physical therapy, administering IV antibiotics, and recording intake and output are important interventions, but obtaining a blood culture takes precedence in cases of suspected infection to ensure accurate and timely treatment.
Extract:
A nurse is assessing the coping skills of the guardian of a child who has a terminal cancer.
Question 5 of 5
Which of the following statements by the guardian demonstrates positive adjustment?
Correct Answer: B
Rationale: The correct answer is B because the guardian is actively seeking information on a new treatment option, showing proactive behavior and a willingness to explore different options for the child's well-being. This demonstrates positive adjustment by taking steps to improve the child's health.
Incorrect choices:
A: This statement reflects guilt and self-blame, indicating negative adjustment.
C: Keeping the child's diagnosis from the family may hinder support and communication, indicating maladaptive behavior.
D: Expressing uncertainty about caring for a dying child suggests a lack of preparedness and coping skills, indicating negative adjustment.