ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is planning care for a child who has varicella.
Question 1 of 5
Which of the following interventions should the nurse plan to include?
Correct Answer: D
Rationale: The correct answer is D: Initiate airborne precautions. This is because the presence of Koplik spots in the oral cavity is a classic sign of measles, which is highly contagious through airborne droplets. Administering aspirin for fever is contraindicated in children with viral illnesses like measles due to the risk of Reye's syndrome. Providing a warm blanket is not directly related to managing measles. Initiation of airborne precautions is essential to prevent the spread of the measles virus to other individuals.
Extract:
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Provide a doll for your 3-year-old child to imitate parental behaviors." This statement is correct because it encourages the child to engage in symbolic play, which can help them process and understand the upcoming changes in the family dynamics with the arrival of a newborn. By imitating parental behaviors with a doll, the child can learn about caregiving and prepare for the new sibling.
Statements B, C, and D are incorrect because they do not provide specific guidance on how to help the child adjust to the new situation. Statement B could cause unnecessary stress for the child by suggesting a sudden change in routines. Statement C may lead to confusion or unrealistic expectations for the child about the new playmate. Statement D does not address the child's emotional readiness for the transition from a crib to a bed.
In summary, providing a doll for the child to imitate parental behaviors is the most appropriate and helpful suggestion for preparing a 3-year-old child for the arrival of
Extract:
A nurse is preparing to collect a capillary blood specimen from the heel of a 4-month-old infant.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B because puncturing the outer aspect of the heel is the appropriate technique for obtaining a blood sample in a heel stick procedure. This area has a rich blood supply, making it ideal for sampling.
Choice A is incorrect because applying a cool pack can cause vasoconstriction, making it harder to obtain a sample.
Choice C is incorrect as using a surgical blade is not recommended due to the risk of injury and contamination.
Choice D is incorrect because wiping the site with alcohol after the puncture can introduce contaminants. Overall, puncturing the outer aspect of the heel is the safest and most effective method for obtaining a blood sample in this scenario.
Extract:
Question 4 of 5
A nurse is reviewing the admission prescriptions for a 6-year-old child who has cystic fibrosis. For which of the following prescriptions should the nurse contact the child's provider?
Correct Answer: B
Rationale: The correct answer is B: Perform airway clearance therapy prior to bronchodilator medications. For a child with cystic fibrosis, airway clearance therapy helps to clear mucus from the lungs, improving breathing. Performing this therapy before using bronchodilator medications ensures that the airways are cleared for optimal delivery of the bronchodilator. Contacting the provider is important to confirm the correct sequence of treatments and to avoid any potential adverse effects or interactions.
Incorrect choices:
A: Administering water-miscible vitamins A, D, E, and K is a standard treatment for cystic fibrosis and does not require immediate provider contact.
C: Encouraging intake of a high-calorie, high-protein diet is also a common recommendation for children with cystic fibrosis to support growth and weight gain.
D: Using the airway clearance therapy device every 2 hours while awake is a frequent regimen for managing cystic fibrosis and does not warrant
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.