ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus.
Question 1 of 5
Which of the following recommendations should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Consult with a nutritionist. This recommendation is important to help manage diabetes effectively by providing personalized dietary guidance. A: Storing opened vials of insulin for 60 days is incorrect as insulin should be discarded after 28 days. B: Following up with physical therapy may be beneficial but is not the priority in this case. D: Monitoring capillary blood glucose daily is essential but does not address the need for nutritional guidance. Consulting with a nutritionist is crucial for optimizing blood sugar control and overall health in diabetes management.
Extract:
A nurse is caring for an adolescent who has major depressive disorder.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A. Asking the client if he is considering harming himself is the first action the nurse should take as it addresses the immediate safety of the client. This step is crucial in assessing the client's risk of self-harm or suicide, allowing for appropriate interventions to be implemented promptly. Encouraging the client to attend group therapy (
B) may be helpful but does not address the immediate safety concern. Administering an antidepressant (
C) is important but should come after assessing the client's safety. Assisting the client in completing ADLs (
D) is important for overall care but not the priority when safety is a concern.
Extract:
A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. The child's parents ask for information on hemodialysis.
Question 3 of 5
Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C because hemodialysis uses an artificial membrane outside the body to clean the patient's blood. This process involves the blood being filtered through a machine that contains a semipermeable membrane, allowing waste products and excess fluids to be removed.
Choice A is incorrect because the abdominal cavity is not used as a membrane in hemodialysis.
Choice B is incorrect as hemodialysis does not involve using an electrolyte solution to clean the blood.
Choice D is incorrect because hemodialysis involves periodically filtering the blood, not continuously.
Therefore, the nurse should make statement C to accurately explain the process of hemodialysis.
Extract:
A nurse is teaching home care to the parents of a preschool-age child who has heart failure.
Question 4 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A. Provide for periods of rest.
Rationale: Rest is essential for children with cyanotic congenital heart disease to conserve energy and reduce oxygen demand on the heart. This can help prevent episodes of cyanosis and reduce the risk of complications. Providing periods of rest allows the child to recover from physical exertion and helps maintain stable oxygen levels.
Incorrect
Choices:
B. Increasing oxygen flow rate until the child no longer has cyanosis is not appropriate as it can lead to oxygen toxicity and potential harm to the child.
C. Withholding digoxin if the child's pulse is greater than 100/min is incorrect as digoxin is typically indicated for heart conditions and should not be withheld based solely on heart rate.
D. Weighing the child once each month is not directly related to managing cyanotic congenital heart disease and may not be as crucial as providing periods of rest.
Extract:
A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Ataxia. Ataxia refers to lack of muscle coordination, which is a common finding in a patient with a neurological disorder such as cerebellar dysfunction. Pinpoint pupils (
A) are associated with opioid overdose, hyperactive reflexes (
C) are seen in conditions like hyperthyroidism or central nervous system injury, and hypothermia (
D) may indicate sepsis or hypothyroidism.
Therefore, by process of elimination, ataxia is the most likely finding in this scenario.