ATI Pediatric Proctored Exam

Questions 54

ATI RN

ATI RN Test Bank

ATI Pediatric Proctored Exam Questions

Question 1 of 5

When a patient is taking glucocorticoids and digoxin, which electrolyte should the nurse prioritize monitoring?

Correct Answer: D

Rationale: The nurse should primarily monitor potassium levels in a patient taking glucocorticoids and digoxin. Glucocorticoids can lead to potassium loss, potentially increasing the risk of digoxin toxicity. Additionally, glucocorticoids may worsen hypokalemia induced by diuretics like thiazides and loops.

Question 2 of 5

A child with sickle cell anemia is experiencing a vaso-occlusive crisis. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: During a vaso-occlusive crisis in sickle cell anemia, maintaining bed rest is crucial to reduce oxygen consumption and alleviate pain. Movement can worsen the crisis by increasing sickling of red blood cells, leading to further tissue damage and pain. Bed rest helps to improve blood flow, reduce pain, and promote healing.

Question 3 of 5

Which law provides for infants and toddlers aged 0-2 who are in need of comprehensive early intervention services?

Correct Answer: D

Rationale: The correct answer is D, IDEA Part C. IDEA Part C specifically focuses on providing early intervention services to infants and toddlers with disabilities. This law ensures that children aged 0-2 receive the necessary support and services to aid in their development and address any disabilities or developmental delays early on.

Question 4 of 5

When preparing an adolescent for a lumbar puncture, which of the following actions should the nurse take?

Correct Answer: B

Rationale: The correct action for the nurse when preparing an adolescent for a lumbar puncture is to apply a topical analgesic cream to the site one hour before the procedure. This helps reduce pain experienced during the lumbar puncture, making the procedure more comfortable for the adolescent.

Question 5 of 5

A patient in the emergency department reports taking sildenafil (Viagra) and nitroglycerin 1 hr before sexual activity. Which finding should the nurse immediately report to the physician?

Correct Answer: D

Rationale: The correct answer is D: BP of 70/50. When sildenafil (Viagra) is taken with nitroglycerin, it can cause severe hypotension that is unresponsive to treatment. The combination of these medications can lead to a dangerous drop in blood pressure. It is crucial to immediately report hypotension in this scenario. It is recommended to allow at least 24 hours to elapse between the last dose of sildenafil and nitroglycerin to prevent such adverse effects. The other vital signs and lab values may be abnormal but do not have the immediate life-threatening implications that severe hypotension does in this context.

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