ATI RN
ATI RN Pediatrics Nursing 2023 New Questions
Extract:
A nurse is assessing a child who has nephrotic syndrome.
Question 1 of 5
The nurse should expect which of the following findings?
Correct Answer: A
Rationale: The correct answer is A. Edema with normal or low BP can indicate a condition like heart failure where fluid accumulates in tissues but blood pressure remains normal or low due to reduced cardiac output. B is incorrect because edema with hypertension suggests a different etiology like renal issues. C is incorrect as unexpected weight loss is not typically associated with edema. D is incorrect as frequency and urgency point towards urinary issues.
Extract:
A nurse is caring for an infant post operative closure of a myelomeningocele.
Question 2 of 5
Which intervention is essential for providing basic care and comfort following myelomeningocele sac closure?
Correct Answer: C
Rationale: The correct answer is C. Following myelomeningocele sac closure, frequent diaper changes and keeping the incision site clean and dry are essential for preventing infection and promoting healing. This intervention helps to reduce the risk of complications such as wound breakdown and infection. Avoiding oral feedings for the first 24 hours (option
A) is not necessary unless specifically ordered by the healthcare provider. Applying direct pressure to the surgical site if bleeding occurs (option
B) can disrupt the healing process and should be avoided. Allowing the infant to lie flat on their back to promote spinal alignment (option
D) is not recommended immediately after surgery as it can put pressure on the incision site.
Extract:
A Nurse is caring for a child with Slipped Capital Femoral Epiphysis (SCFE).
Question 3 of 5
Which interventions should be prioritized for a child with SCFE? SELECT ALL THAT APPLY.
Correct Answer: B,C,E
Rationale:
Correct
Answer: B, C, E
Rationale:
B: Restriction of weight-bearing activities is crucial in SCFE to prevent further damage and avoid worsening of the condition.
C: Prescription of crutches helps in mobility assistance and reduces pressure on the affected hip joint, promoting healing.
E: Immediate referral to an orthopedic specialist is necessary for a comprehensive evaluation and appropriate treatment planning.
Incorrect
Choices:
A: NSAIDs can help with pain management but do not address the underlying issue of weight-bearing restrictions and mobility assistance.
D: Ice packs may help with inflammation, but they do not address the primary need for weight-bearing restrictions and mobility assistance.
F: Heat packs can relieve muscle tension but are not essential for managing SCFE, which requires more critical interventions like weight-bearing restrictions and orthopedic evaluation.
Extract:
A nurse is assessing an infant following a motor vehicle crash.
Question 4 of 5
Which of the following findings indicate increased intracranial pressure in an Infant?
Correct Answer: A
Rationale: The correct answer is A: Increased somnolence. Increased somnolence in an infant indicates increased intracranial pressure due to brain compression affecting the level of consciousness.
Choice B, increased heart rate, is not a direct indicator of intracranial pressure.
Choice C, depressed fontanels, can indicate dehydration but not specifically increased intracranial pressure.
Choice D, brisk pupillary reaction to light, is a normal finding and not indicative of increased intracranial pressure in infants.
Extract:
A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode.
Question 5 of 5
Which of the following statements by the parent Indicates a need for further teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will give my child a non-steroid anti-inflammatory drug (NSAI
D) for pain relief if needed." This statement indicates a need for further teaching because it suggests that the parent may not be fully aware of the potential risks and side effects associated with NSAIDs, especially when given to children. It is important to educate the parent on the proper use of medications, potential adverse effects, and the importance of consulting a healthcare provider before administering any medication to their child.
Other choices are incorrect because:
A: Encouraging participation in non-contact sports like swimming promotes physical activity and is generally a safe option.
B: Ensuring the child wears helmets and protective gear is a responsible safety measure.
C: Teaching the child to avoid activities that may result in cuts or injuries is a good preventive strategy.
E, F, G: No other choices are provided, but they would likely be incorrect as they do not raise concerns about potential risks or lack of understanding