ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A child with Autism Spectrum Disorder.
Question 1 of 5
The nurse is caring for a child with Autism Spectrum Disorder. The nurse recognizes that which of the following may trigger anxiety and frustration during the hospitalization? SELECT ALL THAT APPLY
Correct Answer: B,C,D
Rationale: The correct choices are B, C, and D. B: Overstimulation can trigger anxiety in children with Autism Spectrum Disorder due to sensory sensitivities. C: Illness and pain can increase anxiety and frustration as the child may struggle to communicate their discomfort. D: Changes in routine can disrupt the child's sense of predictability, leading to anxiety. A is incorrect because consistent caregivers can provide stability. E is incorrect as simple instructions can help reduce anxiety.
Extract:
Patients with 24-hour Holter monitor diaries.
Question 2 of 5
The nurse is reviewing 24-hour Holter monitor diaries of various patients. Which of the following entries is the MOST complete?
Correct Answer: B
Rationale: The correct answer is B because it provides essential information related to the patient's symptoms (dizzy), activity (basketball practice), and relevant details (no loss of consciousness, no caffeine). This entry gives a clear picture of the patient's condition during the specified time, aiding in identifying potential cardiac abnormalities.
Choice A lacks information about the patient's activity and symptoms.
Choice C pertains to the placement of electrodes and is not relevant to the patient's condition at the moment.
Choice D lists meal information which is not pertinent to the Holter monitor analysis.
Choices E, F, and G are blank entries and do not provide any useful information for review.
Extract:
A toddler with multiple bruises and burns in various stages of healing, suspected of being abused.
Question 3 of 5
An emergency room nurse is assessing a toddler with multiple bruises and burns in various stages of healing. The nurse suspects that the toddler has been abused, however the physician disagrees. What is the nurse's priority at this time?
Correct Answer: B
Rationale: The correct answer is B: Report the suspicions about abuse to the proper authorities (Child Protective Services). The nurse's priority is to ensure the safety and well-being of the toddler. Reporting suspected abuse to the authorities is crucial to protect the child from further harm. It is not appropriate to confront caregivers without concrete evidence, as it may escalate the situation and put the child at risk. Discussing with the physician may delay necessary intervention.
Choice A is incorrect as it dismisses the seriousness of the situation.
Choice C may not be immediate action.
Choice D is inappropriate and may endanger the child.
Extract:
A 3-month-old infant weighing 11 pounds, treated with Vancomycin for bacterial meningitis, ordered 60mg/kg/day divided every 6 hours.
Question 4 of 5
A 3-month-old infant is being treated with Vancomycin for bacterial meningitis. Order: 60mg/kg/day divided every 6 hours. The infant weighs 11 pounds. The nurse first confirms safe dose. The nurse then calculates the dosage. Which one of the following is the correct SINGLE dose order for the nurse to administer?
Correct Answer: A
Rationale: The correct answer is A: 75 mg.
To calculate the correct dose, first convert the infant's weight from pounds to kilograms by dividing by 2.2 (11 lb / 2.2 = 5 kg).
Then, multiply the weight by the ordered dose (60 mg/kg/day) to find the daily dose (5 kg * 60 mg/kg = 300 mg/day). Next, divide the daily dose by the number of doses per day (every 6 hours = 4 doses/day) to find the single dose (300 mg/day / 4 doses = 75 mg).
Choice B is incorrect because it doesn't account for the weight-based dosing.
Choice C is incorrect as it is the ordered dose without considering the weight.
Choice D is incorrect as it is too high, exceeding the calculated dose for the infant's weight.
Extract:
A child diagnosed with a Wilm's tumor.
Question 5 of 5
For a child diagnosed with a Wilm's tumor. The nurse recognizes that which of the following is MOST important intervention when planning care for this child?
Correct Answer: A
Rationale: The correct answer is A: Avoiding further palpation of the abdomen. For a child with a Wilm's tumor, palpation of the abdomen can potentially rupture the tumor, leading to hemorrhage and further complications. This intervention is crucial to prevent accidental trauma.
B: Obtaining an accurate height and weight is important for monitoring growth but is not as urgent as avoiding palpation of the abdomen.
C: Monitoring vital signs is essential in all patients but does not directly address the risk of tumor rupture.
D: Assessing the urine for the presence of blood is important for detecting complications but does not take precedence over avoiding palpation of the abdomen.
In summary, avoiding further palpation of the abdomen is the most critical intervention to prevent potential harm to the child with a Wilm's tumor.