ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is caring for a 6-month-old infant who has gastroenteritis.
Question 1 of 5
Which of the following findings should the nurse identify as a manifestation of severe dehydration?
Correct Answer: B
Rationale: The correct answer is B: Sunken anterior fontanel. This finding indicates severe dehydration in infants due to decreased fluid volume in the body, causing the fontanel to appear sunken. Capillary refill time of 3 seconds (choice
A) is within normal limits. Weight loss of 5% (choice
C) can be seen in mild to moderate dehydration. Producing tears when crying (choice
D) is not a reliable indicator of hydration status.
Extract:
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax.
Question 2 of 5
Which of the following oils should the nurse recommend?
Correct Answer: A
Rationale: The nurse should recommend Lavender oil due to its calming and soothing properties, making it suitable for relaxation and stress relief. Lavender oil is commonly used for aromatherapy to promote sleep and reduce anxiety. Eucalyptus, Jasmine, and Tea Tree oils have different therapeutic benefits, but they are not specifically known for relaxation purposes. Eucalyptus is often used for respiratory issues, Jasmine for uplifting mood, and Tea Tree for skin conditions.
Therefore, Lavender is the best choice for relaxation among the given options.
Extract:
A nurse is providing teaching to the parents of a child who has impetigo.
Question 3 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Apply bactericidal ointment to lesions. This instruction is crucial for preventing bacterial infection in lesions. B: Administering acyclovir treats viral infections, not bacterial. C: Boiling hairbrushes is for preventing head lice, not for treating lesions. D: Sealing toys is for managing scabies, not lesions. E, F, G: Irrelevant to lesion care.
Extract:
A nurse is caring for a group of clients.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A. An 18-month-old toddler with a heart rate of 68/min is bradycardic for their age. This finding could indicate a potential cardiac issue or other underlying health concern that requires immediate attention. Bradycardia in young children can lead to decreased perfusion and oxygen delivery.
Choice B is within normal temperature range for a school-age child.
Choice C has a slightly elevated BP but is within an acceptable range for an adolescent.
Choice D is within the normal range for a 3-month-old infant.
Extract:
A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10. Vital Signs: Temperature 37.8° C (100° F), Heart rate 100/min, Blood pressure 110/72 mm Hg, Respiratory rate 20/min, Oxygen saturation 95% on room air. Assessment: Awake, alert, and oriented x 3, Yellow sclera of eyes noted bilaterally, Right upper quadrant tender to palpation, Hands painful to touch and swollen bilaterally, Right knee is swollen, warm to palpation, and the client reports pain as 8 on a scale of 0 to 10, Client is tearful and grimacing during the examination.
Question 5 of 5
The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.
Correct Answer: A,B,C,F
Rationale: The correct interventions are A, B, C, and F. A is important for preventive care, B is for medication adherence, C for monitoring, and F for pain management. A ensures protection against infection, B follows medical orders, C ensures respiratory status is stable, and F addresses pain effectively. D is incorrect as bed rest can lead to complications like muscle weakness. E is not necessary for adolescent care unless specifically indicated. G is incorrect as oral intake should not be restricted unless medically indicated. In summary, A, B, C, and F are crucial for optimal care while D, E, and G are not necessary or potentially harmful interventions.