ATI Pediatric Proctored Exam

ATI Pediatric Proctored Exam Related

Review ATI Pediatric Proctored Exam related questions and content

What is the most appropriate nursing consideration for a patient who is prescribed verapamil and digoxin?

  • A. Restrict intake of oral fluids and high-fiber foods
  • B. Take an apical pulse for 30 seconds before administration
  • C. Notify the healthcare provider of nausea, vomiting, and visual changes
  • D. Hold the medications if the heart rate is greater than 110 bpm
Correct Answer: C

Rationale: When a patient is prescribed verapamil and digoxin, it is crucial to monitor for signs of digoxin toxicity due to the potential interaction between these medications. Verapamil can elevate digoxin blood serum levels, increasing the risk of toxicity. Symptoms of digoxin toxicity include nausea, vomiting, and visual changes. Restricting intake of oral fluids and high-fiber foods is not a specific consideration related to this medication combination. Before administering digoxin, it is essential to take an apical pulse for a full minute, not just 30 seconds. Additionally, holding the medications if the heart rate exceeds 110 bpm is not a typical response to the combination of verapamil and digoxin, which can cause bradycardia rather than tachycardia.

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A 7-year-old child with acute glomerulonephritis has gross hematuria and has been confined to bed. What is the most appropriate nursing intervention for this child?

  • A. Providing activities for the child on restricted activity
  • B. Feeding the child a protein-restricted diet
  • C. Carefully handling edematous extremities
  • D. Observing the child for evidence of hypotension
Correct Answer: A

Rationale: The most appropriate nursing intervention for a 7-year-old child with acute glomerulonephritis experiencing gross hematuria and bed rest is to provide activities for the child on restricted activity. Although the child may feel well, it is essential to limit activity until hematuria resolves to prevent complications and promote recovery.

The nurse is expecting the admission of a child with severe isotonic dehydration. Which intravenous fluid prescription does the nurse anticipate for this child?

  • A. 0.9% normal saline (NS)
  • B. D5 0.2% (¼) normal saline
  • C. D5W
  • D. Albumin
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A 6-year-old male child presented with a cerebellar mass; after undergoing complete surgical resection of the mass, the histology of the mass reveals pilocytic astrocytoma. Of the following, the MOST appropriate next step in the management is

  • A. radiotherapy
  • B. chemotherapy
  • C. observation
  • D. concomitant chemo-radiotherapy
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A healthcare professional is assessing an infant who has heart failure. Which of the following findings should the healthcare professional expect?

  • A. Weight gain
  • B. Bounding pulses
  • C. Hyperactivity
  • D. Increased urine output
Correct Answer: A

Rationale: In infants with heart failure, one of the key manifestations is weight gain due to fluid retention. The heart's inability to pump effectively can lead to fluid buildup in the body, causing weight gain. Bounding pulses, hyperactivity, and increased urine output are not typically associated with heart failure in infants.

A patient taking isotretinoin (Accutane) for acne vulgaris. Which statement indicates that the patient teaching has been effective?

  • A. I should use a reliable form of birth control.
  • B. I will stop taking the drug if my skin is dry.
  • C. It is important to increase intake of vitamin A.
  • D. I do not need to use sunblock while taking Accutane.
Correct Answer: A

Rationale: The correct answer is A. Isotretinoin is highly teratogenic, which means it can cause birth defects. Therefore, it is crucial for patients, especially females of childbearing potential, to use effective forms of birth control to prevent pregnancy while taking this medication. This is a key component of patient teaching to ensure the safe use of isotretinoin.

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