ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Question 1 of 5
A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus. Which of the following recommendations should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Consult with a nutritionist. This is important for a newly diagnosed adolescent with type 1 diabetes mellitus to learn about proper dietary management. A nutritionist can help create a meal plan that considers the adolescent's specific needs, ensuring they understand how food affects blood sugar levels. Option A is incorrect because opened vials of insulin should be stored according to the manufacturer's instructions. Option B is not directly related to managing diabetes. Option D is important but does not address the initial education needed for dietary management.
Extract:
Nurses' Notes 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter. Vital Signs 0930: Temperature 38.4° C (101.1° F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).
Question 2 of 5
Select words from the choices to fill in each blank in the following sentence. The child is at risk for developing ______ and _______.
Correct Answer: A,D
Rationale: The correct answer is A (Nephrotic syndrome) and D (Acute glomerulonephritis). Nephrotic syndrome is a kidney disorder characterized by proteinuria and edema, common in children. Acute glomerulonephritis is inflammation of the kidney's glomeruli often caused by infections. Both conditions put the child at risk for kidney damage and long-term complications.
Choices B, C, and E are not directly related to the child's risk of developing kidney issues. Renal scarring is typically a result of past infections or injuries, not a direct risk factor. Polycystic kidney disease is a genetic condition, and pyelonephritis is a bacterial infection of the kidney.
Therefore, A and D are the most appropriate choices given the context of the sentence.
Extract:
Question 3 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Nausea. Morphine, an opioid analgesic, commonly causes gastrointestinal side effects such as nausea. The nurse should monitor for nausea as it can lead to vomiting, dehydration, and poor oral intake. Prolonged wound healing (
A) is not a typical adverse effect of morphine. Stevens-Johnson syndrome (
C) is a severe skin reaction usually caused by medications other than morphine. Renal failure (
D) is not a common adverse effect of morphine; however, it can occur in patients with pre-existing kidney issues or when morphine is used in high doses for a prolonged period.
Question 4 of 5
A nurse is providing teaching to a 15-year-old adolescent about a medication used to treat a sexually transmitted infection. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D because asking how the client prefers to learn new information is important when educating adolescents. This approach promotes autonomy and engagement in their own healthcare. By understanding the client's preferred learning style, the nurse can tailor the teaching to be more effective and ensure better understanding and adherence to medication instructions.
Choice A is incorrect because the nurse should be the primary source of information for the adolescent regarding their medication, not the pharmacy.
Choice B is inappropriate as adolescents have the right to privacy and should be involved in their own healthcare decisions.
Choice C is not ideal as it undermines the adolescent's autonomy and may not be effective in promoting learning.
Question 5 of 5
A nurse is caring for a school-age child who is having a tonic-clonic seizure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Time the episode. Timing the seizure is crucial for determining the duration, which helps in guiding treatment decisions and assessing potential complications. Administering chlorothiazide (
A) is not indicated during a seizure. Holding the child down (
B) can be harmful and may lead to injury. Placing the child in a prone position (
C) can obstruct breathing. Monitoring the duration of the seizure (
D) is essential for proper management.