ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone.
Question 1 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Monitor your child for indications of infection. This statement is important because certain medications may weaken the immune system, increasing the risk of infections. Monitoring for signs of infection allows for early detection and treatment.
Choice B is incorrect because limiting potassium-rich foods is not typically necessary with this medication.
Choice C is incorrect as this medication does not typically stimulate a growth spurt.
Choice D is incorrect because discontinuing the medication without consulting a healthcare provider can be harmful.
Extract:
A nurse is assessing a school-age child who is receiving morphine.
Question 2 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Bradypnea. Bradypnea, or slow breathing, can indicate respiratory depression, a common adverse effect of many medications, especially opioids. Monitoring for this adverse effect is crucial to prevent serious complications like respiratory arrest. Prolonged wound healing (
B) is not typically a common adverse effect that requires immediate monitoring. Hypertension (
C) is a possible adverse effect, but it is not as urgent as respiratory depression. Stevens-Johnson syndrome (
D) is a severe skin reaction that is not typically monitored by nurses for immediate assessment of adverse effects.
Extract:
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to secure the restraints with a quick-release knot (
Choice
C). This is important for the safety of the child as quick-release knots allow for easy and quick removal in case of an emergency. Tying the restraints to the side rails of the bed (
Choice
B) can pose a risk of entrapment and restrict movement. Requesting the provider to renew the prescription every 48 hours (
Choice
A) is not directly related to the immediate action of securing the restraints. Assessing the child every 4 hours (
Choice
D) is important but does not address the immediate action needed.
Extract:
A nurse is assessing a school-age child who is receiving prednisolone.
Question 4 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Prolonged wound healing. Nurses should monitor for this adverse effect because it can indicate impaired tissue repair, which can lead to infection or delayed recovery. Hypotension (
A) is a common side effect of certain medications but is not specific to wound healing. Renal failure (
C) and Stevens-Johnson syndrome (
D) are serious adverse effects that require monitoring, but they are not directly related to wound healing. Other choices are not provided, but focusing on wound healing is crucial for patient recovery.
Extract:
A nurse is caring for an infant who has necrotizing enterocolitis.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Rounded abdomen. In a pediatric patient with nephrotic syndrome, a rounded abdomen is a common finding due to ascites caused by hypoalbuminemia. This occurs because the kidneys lose protein, leading to fluid retention in the abdomen. Vomiting (
A) is not a typical finding in nephrotic syndrome. Hypertension (
B) is not a typical finding in nephrotic syndrome but rather can be seen in other renal disorders. Tachypnea (
D) is not a common finding in nephrotic syndrome unless there is severe fluid overload.