ATI RN
RN Pediatric Nursing 2023 ATI
1. A caregiver is learning about administering digoxin to a toddler. Which statement by the caregiver indicates an understanding of the teaching?
- A. I will mix the medication with a small amount of juice.
- B. I will give the medication with meals.
- C. I will give a second dose if my child vomits.
- D. I will give my child water after giving the medication.
Correct answer: D
Rationale: The correct statement is D because giving the child water after administering digoxin helps ensure the medication is swallowed properly. Mixing the medication with juice (choice A) may affect its absorption. Giving the medication with meals (choice B) may interfere with its effectiveness. Administering a second dose if the child vomits (choice C) is not recommended as it may lead to an overdose.
2. A healthcare professional is preparing to administer a vaccine to a child who has hemophilia. Which of the following actions should the healthcare professional take?
- A. Administer the vaccine subcutaneously
- B. Administer the vaccine intramuscularly
- C. Use a 1-inch needle
- D. Apply pressure to the site for 1 to 2 minutes
Correct answer: B
Rationale: Administering the vaccine intramuscularly to a child with hemophilia is preferred to reduce the risk of bleeding. Hemophiliac individuals have a decreased ability to form blood clots, and administering vaccines intramuscularly reduces the risk of bleeding compared to subcutaneous administration. Using an appropriate needle length and applying pressure to the site post-injection are important steps, but choosing the intramuscular route is crucial in this case to minimize bleeding complications.
3. Which type of food is the most difficult to swallow?
- A. Raw Vegetables
- B. Strained Fruit
- C. Chopped Meat
- D. Mashed Vegetables
Correct answer: C
Rationale: Chopped meat is the most difficult to swallow as it requires thorough chewing and coordination to avoid swallowing hazards, making it more challenging compared to raw vegetables, strained fruit, and mashed vegetables.
4. A healthcare professional is assessing a child who has nephrotic syndrome. Which of the following findings should the healthcare professional expect?
- A. Hypotension
- B. Hyperglycemia
- C. Facial edema
- D. Weight gain
Correct answer: D
Rationale: In nephrotic syndrome, there is increased permeability of the glomerular filtration barrier, leading to protein loss in the urine. This results in hypoalbuminemia, causing fluid retention and edema. Therefore, weight gain due to fluid retention is a common finding in children with nephrotic syndrome.
5. A child has Wilms' tumor and is scheduled for surgery. Which of the following actions should the nurse include in the plan of care?
- A. Palpate the child's abdomen daily for tumor size.
- B. Reposition the child frequently.
- C. Prepare the child for chemotherapy.
- D. Avoid palpating the abdomen.
Correct answer: D
Rationale: Palpating the abdomen of a child with Wilms' tumor should be avoided to prevent the risk of rupturing the tumor and spreading cancer cells. This action is crucial to maintain the child's safety and prevent potential complications before surgery.
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