ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome.
Question 1 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Weigh the child once per day. This intervention is essential for monitoring the child's nutritional status and overall health. Daily weight checks can help detect changes in weight, which may indicate fluid retention, malnutrition, or other health issues. Increasing fluid intake to 2 L/day (
B) could be excessive for a child depending on age and weight. Positioning the child supine at bedtime (
C) may not be relevant to the plan of care. Limiting calorie intake to 45 cal/kg/day (
D) without proper assessment may not be suitable for the child's individual needs.
Extract:
Question 2 of 5
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, 'I don't understand why they need to do this procedure.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct
Answer: B. Notify the provider who is scheduled to perform the procedure.
Rationale: The nurse should notify the provider performing the procedure as they are the most qualified to explain the necessity of the cardiac catheterization and address any concerns or questions the guardian may have. The provider can provide detailed information about the procedure, potential risks, benefits, and alternatives, helping to ensure that the guardian understands the importance of the procedure for the adolescent's health.
Incorrect
Choices:
A: Requesting assistance from the anesthesiologist is not the most appropriate action as the anesthesiologist's role may not involve explaining the procedure itself.
C: While explaining the procedure to the adolescent and guardian is important, in this scenario, involving the provider directly is crucial to address the guardian's concerns.
D: Witnessing the adolescent's signature on the consent form is important but does not address the guardian's lack of understanding.
Question 3 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Discard the first voided specimen. This is because the first voided specimen may contain residual urine from the bladder that has been sitting for an extended period, which could skew the results of the 24-hour urine collection. By discarding the first voided specimen, the nurse ensures that the collection accurately represents the urine produced over the 24-hour period.
Choice A is incorrect because there is no need to cleanse the perineum with a povidone-iodine solution prior to voiding for a 24-hour urine collection.
Choice B is incorrect because all urine collected during the 24 hours should be stored in the same container to accurately measure the total output.
Choice D is incorrect because voiding every hour would not result in an accurate 24-hour collection.
Extract:
A nurse is assessing an 18-month-old toddler during a well-child visit.
Question 4 of 5
Which of the following findings should the nurse identify as a potential developmental delay?
Correct Answer: B
Rationale: The correct answer is B: Walks with assistance. Walking independently is a milestone typically achieved around 12-15 months. Walking with assistance beyond this age may indicate a developmental delay in gross motor skills. Engaging in parallel play (
A) is typical for toddlers. Speaking at least 10 words (
C) is a language development milestone. Building a tower of 3 blocks (
D) is a fine motor skill milestone. The absence of other choices indicates they are not relevant to developmental delays.
Extract:
A nurse is caring for a 1-year-old child who has been hospitalized.
Question 5 of 5
Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: D
Rationale: The correct answer is D: Bedside computer keyboard. This is because items such as computer keyboards in a child's room can harbor harmful bacteria and viruses that can be transmitted to the child, caregivers, or healthcare providers, leading to healthcare-associated infections. Keyboards are frequently touched and are often overlooked when it comes to cleaning and disinfection, making them a common source of infections. The other choices (A, B, and
C) are less likely to be sources of healthcare-associated infections in a child's room as disposable diapers, protective gowns, and unopened formula bottles are typically designed to maintain hygiene and are not directly involved in transmitting infections like a contaminated keyboard.