ATI RN
ATI Nurs 335 Pediatrics Exam Questions
Extract:
A nurse is screening a child for epilepsy.
Question 1 of 5
Which of the following questions should the nurse ask the client's parent?
Correct Answer: B
Rationale: The correct answer is B: Did your child have an aura prior to a seizure? This question is important as an aura can provide crucial information about the type of seizure and potential triggers. It can help in determining the appropriate intervention and management strategies.
Choice A is incorrect as asking about a fever may not be directly related to the seizure event.
Choice C is incorrect as the timeframe of one year may not provide timely information for immediate care.
Choice D is incorrect as the duration of the seizure, although important, may not give insight into potential triggers or warnings.
Extract:
A child is admitted with a suspected diagnosis of Wilms' tumor.
Question 2 of 5
The nurse should place a sign with which of the following warnings over the child's bed?
Correct Answer: B
Rationale: The correct answer is B: Do not palpate abdomen. Placing a sign with this warning over the child's bed is important to prevent potential harm or discomfort to the child. Palpating the abdomen can cause pain or distress, especially if the child has a condition that makes the abdomen sensitive. This warning alerts healthcare providers to avoid this action, ensuring the child's well-being. The other choices are incorrect because: A does not address a specific action that needs to be avoided; C is not a warning that requires immediate action; and D (Contact precautions) is a general precaution that may not be directly related to the child's immediate care needs.
Extract:
A nurse manager is preparing to discuss methods to help staff who care for terminally ill children cope with stress.
Question 3 of 5
Which of the following information should the nurse plan to include? Select all that apply.
Correct Answer: A,C,E
Rationale: The correct answers are A, C, and E. A nurse should include mindfulness meditation techniques (
A) to manage stress, develop professional support systems (
C) for emotional well-being, and attend funeral services if desired (E) to provide support to patients. Mindfulness meditation helps in stress reduction, professional support systems offer emotional support and guidance, and attending funeral services shows empathy and support for patients.
Choices B and D are incorrect as working extended shifts and taking sleep aids are not recommended strategies for maintaining physical and mental health.
Extract:
A nurse is providing care to an infant newly diagnosed with sickle cell anemia.
Question 4 of 5
Which of the following statements should the nurse include in the discussion about sickled red blood cells? Select all that apply.
Correct Answer: B,D,E
Rationale: The correct statements to include in the discussion about sickled red blood cells are B, D, and E.
B: Sickled red blood cells are c-shaped and tend to stick together more easily, leading to vaso-occlusive crises.
D: Sickled red blood cells are rigid, making it difficult for them to travel through smaller vessels, causing blockages and tissue damage.
E: Sickled red blood cells have a short life span, decreasing the number of red blood cells circulating in the blood, leading to anemia and tissue hypoxia.
These statements are crucial for understanding the pathophysiology of sickle cell disease and the complications associated with it.
Statements A, C, F, and G are incorrect as they do not accurately describe the characteristics or implications of sickled red blood cells.
Extract:
A child with a head injury is at risk for increased intracranial pressure (ICP).
Question 5 of 5
Which change in status would alert the nurse to believe an increase in ICP has occurred?
Correct Answer: B
Rationale: The correct answer is B because increased diastolic pressure with narrowing pulse pressure is a classic sign of increased intracranial pressure (ICP). When ICP rises, it can lead to cerebral edema, causing a decrease in compliance within the cranial vault. This results in an increase in diastolic blood pressure due to the brain's inability to compensate for the increased pressure. The narrowing pulse pressure occurs because the increased diastolic pressure compensates for the decreased systolic pressure. Confusion and altered mental status (
A) can be seen with increased ICP but are not specific indicators. Irregular, rapid heartbeat (
C) and rapid, shallow breathing (
D) are not direct signs of increased ICP.