ATI Pediatric Medications Test

ATI Pediatric Medications Test Related

Review ATI Pediatric Medications Test related questions and content

How should the nurse prepare the sibling of a near-drowning accident victim who wants to see his brother in the pediatric intensive care unit, considering the child was present during the accident?

  • A. Have the parents explain to the child why the sibling is so sick and inform the child that this could be the last time he sees his brother.
  • B. Reassure the sibling not to cry in the child's room to avoid upsetting the ill child.
  • C. If death is imminent, avoid informing the child about it and minimize involvement in care to protect the child from further trauma.
  • D. Cover tubes and wires with a sheet, wash off any existing blood, and prepare him for what he will see.
Correct Answer: D

Rationale: When preparing a sibling to see their brother in the pediatric intensive care unit after a near-drowning accident, it is essential to cover tubes and wires with a sheet, wash off any existing blood, and explain what the sibling will see. This approach helps the sibling understand the situation better and prepares them emotionally for the encounter, reducing potential distress and trauma. By providing information and visual preparation, the sibling can have a more controlled and less overwhelming experience when visiting their brother in the intensive care unit. Choice A is incorrect as informing the child that this could be the last time he sees his sibling may cause unnecessary distress and anxiety. Choice B is incorrect as it dismisses the sibling's emotional response, which is essential to address in a supportive manner. Choice C is incorrect as honesty and appropriate information sharing are crucial, even in difficult situations, to help the child cope effectively with the circumstances.

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How will a ventricular septal defect affect blood flow?

  • A. Blood will shunt left to right, causing increased pulmonary flow and no cyanosis.
  • B. Blood will shunt right to left, causing decreased pulmonary flow and cyanosis.
  • C. No shunting occurs due to high pressure in the left ventricle.
  • D. Increased pressure in the left atrium hinders the circulation of oxygenated blood in the circulating volume.
Correct Answer: A

Rationale: A ventricular septal defect allows blood to shunt left to right, leading to increased pulmonary flow. This results in oxygenated blood mixing with deoxygenated blood, causing no cyanosis as the mixed blood is still oxygenated. The shunting from left to right overloads the pulmonary circulation, leading to increased pulmonary flow. Choice B is incorrect because blood does not shunt right to left in a ventricular septal defect. Choice C is incorrect as shunting does occur due to the pressure differences between the ventricles. Choice D is incorrect because the defect affects the ventricles, not the atrium, and does not hinder the circulation of oxygenated blood in the circulating volume.

A healthcare provider is educating a new mother on discharge. They told the mother to look for the following danger signs.

  • A. Poor Feeding
  • B. High Temperature
  • C. Convulsions
  • D. All of the Above
Correct Answer: D

Rationale: It is crucial for new mothers to be aware of potential danger signs after discharge. Poor feeding, high temperature, and convulsions are all critical symptoms that should prompt immediate medical attention. Poor feeding may indicate issues with feeding or underlying health problems. High temperature could be a sign of infection or illness. Convulsions are a serious symptom that could indicate neurological problems or other medical emergencies. By being vigilant and recognizing these signs early, the mother can help ensure the well-being of her newborn. Therefore, the correct answer is 'All of the Above' as all these signs require prompt medical attention to ensure the baby's health and safety.

A 3-month-old is hospitalized with a fractured femur. The pain assessment tool most appropriate for this child is the:

  • A. FLACC scale.
  • B. Poker chip tool.
  • C. Number scale.
  • D. Visual analog scale.
Correct Answer: A

Rationale: The FLACC scale is a validated pain assessment tool suitable for infants and young children, including 3-month-olds. It assesses pain based on five categories: Face, Legs, Activity, Cry, and Consolability. Since infants cannot communicate their pain verbally, the FLACC scale is effective in evaluating pain by observing these behavioral indicators. The other options, such as the Poker chip tool, Number scale, and Visual analog scale, are not specifically designed for infants and may not provide accurate pain assessment in this age group.

Jaundice in children can be either pathological or physiological. Which of these will you consider as more serious?

  • A. Jaundice seen within 24 hours of life
  • B. Jaundice seen at the palms and soles
  • C. Jaundice appearing after 24 hours of life
  • D. Jaundice seen after 14 days of life
Correct Answer: A

Rationale: Jaundice seen within 24 hours of life is considered more serious in children as it can indicate pathological causes such as hemolytic disease or sepsis, which require prompt evaluation and management to prevent complications. Jaundice appearing within 24 hours of life is concerning due to the higher likelihood of severe conditions, while jaundice seen at the palms and soles is more likely due to physiological causes such as breast milk jaundice. Jaundice appearing after 24 hours or after 14 days of life may still require evaluation but is less urgent compared to jaundice within the first 24 hours.

Which behavior is most indicative that a 2-year-old is experiencing the initial phase of separation anxiety because his parents cannot stay all day at the hospital with him?

  • A. He withdraws from the nursing staff.
  • B. He cries when his parents leave.
  • C. He lies quietly in bed.
  • D. He cries when his parents arrive.
Correct Answer: B

Rationale: The most indicative behavior of a 2-year-old experiencing the initial phase of separation anxiety due to parents not staying all day at the hospital is crying when his parents leave. This behavior is a common manifestation of separation anxiety in children, as they struggle with the absence of their primary attachment figures. Choices A, C, and D are less indicative because withdrawing from the nursing staff, lying quietly in bed, or crying when parents arrive do not specifically demonstrate the distress caused by separation from parents, which is the hallmark of separation anxiety in children.

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