ATI RN Pediatric Nursing 2023

Extract:

A nurse is providing teaching to the parent of a school-age child who has a maintenance prescription for prednisone following an acute asthma attack.

Question 1 of 5

Which of the following statements by the parent indicates an understanding of the teaching?

A. My child might experience mood swings.B. I should take my child to the clinic for a weekly blood test.C. I should withhold my child's medication before physical activity.D. My child might have a decreased appetite.

Correct Answer: A

Rationale: A. Mood swings are a common side effect of prednisone and indicate an understanding of the potential adverse effects. B. Routine blood tests are not typically required for maintenance prednisone therapy. C. Prednisone should not be withheld before physical activity. D. Decreased appetite is not typical; increased appetite is more common.

Extract:

A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. The child's parents ask for information on hemodialysis.

Question 2 of 5

Which of the following statements should the nurse make?

A. Hemodialysis uses your child's abdominal cavity as a membrane to clean their blood.B. Hemodialysis uses an electrolyte solution to clean your child's blood.C. Hemodialysis uses an artificial membrane outside the body to clean your child's blood.D. Hemodialysis slowly filtrates your child's blood continuously.

Correct Answer: C

Rationale: C. Hemodialysis indeed involves circulating the blood outside the body through an artificial membrane in the dialysis machine to remove waste products and excess fluids. A. This describes peritoneal dialysis. B. Electrolyte solution is not used in hemodialysis. D. Hemodialysis is intermittent, not continuous.

Extract:

A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up-to-date with the current schedule.

Question 3 of 5

Which of the following immunizations should the nurse plan to administer? Select all that apply.

A. Measles, mumps, and rubella (MMR)B. Varicella (VAR)C. Rotavirus (RV)D. Herpes zosterE. Human papillomavirus (HPV4)

Correct Answer: A,B

Rationale: A. The MMR vaccine is typically administered at 12 months of age as part of routine immunization schedules. B. The varicella vaccine is typically administered at 12 months of age as part of routine immunization schedules. C. Rotavirus vaccine is given at 2, 4, and 6 months. D. Herpes zoster vaccine is not given to infants. E. HPV vaccine starts at age 11 or 12.

Extract:

A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 lb) and is postoperative following open heart surgery.

Question 4 of 5

Which of the following findings should the nurse report to the provider?

A. Drainage from the chest tube of 22 mL in the last hourB. Urine output of 15 mL in the last 2 hrC. Skin temperature 36Â° C (96.8Â° F)D. Pedal and posterior tibial pulses of 2+

Correct Answer: B

Rationale: B. This is a concerning finding indicating possible inadequate renal perfusion, especially considering the postoperative status of the toddler. A. Chest tube drainage of 22 mL/hour is expected. C. Skin temperature of 36Â°C is slightly low but not critical. D. Pulses of 2+ are adequate.

Extract:

The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis. Assessment: Child is alert and responsive, Respiratory rate even and nonlabored at rate of 24/min. No adventitious sounds auscultated, Heart rate 108/min, Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities.

Question 5 of 5

Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.

A. You should cut and file your child's fingernails frequently.B. You should use a mild detergent for your child's laundry.C. You should apply a thick layer of pimecrolimus cream to your child's lesions.D. Your child will experience occasional flare-ups of this condition.E. Your child's condition is contagious when lesions are present.F. You can apply gloves to your child's hands.G. You should apply emollients to your child's skin after bathing.

Correct Answer: A,B,D,F,G

Rationale: A. Cutting and filing the child's fingernails frequently can help prevent further damage from scratching and reduce the risk of infection. B. Using a mild detergent for the child's laundry can help minimize irritation to the skin. C. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns. D. Informing the guardian that the child will experience occasional flare-ups of the condition helps manage expectations and prepares them for potential recurrence. E. Atopic dermatitis is not typically contagious, so the statement that the child's condition is contagious when lesions are present is inaccurate. F. Applying gloves to the child's hands can prevent scratching and further damage to the skin. G. Applying emollients to the child's skin after bathing helps maintain skin hydration and barrier function, reducing the severity of atopic dermatitis symptoms.

ATI RN Pediatric Nursing 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN