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:
The nurse is caring for a newborn with suspected Patent Ductus Arteriosus (PDA).
Question 2 of 5
What signs and symptoms should the nurse expect to find when assessing the newborn? (Select All That Apply).
Correct Answer: B,C,E
Rationale:
Correct
Answer: B, C, E
Rationale:
B: Dyspnea may indicate respiratory distress in a newborn and is a significant sign to assess. It can be a sign of various conditions such as respiratory distress syndrome.
C: A machine-like murmur in the right upper sternal border may indicate a patent ductus arteriosus, a common heart condition in newborns that requires monitoring and intervention.
E: Difficulty feeding can be a sign of various issues including respiratory distress, cardiac problems, or neurological conditions. It is essential to address this to ensure adequate nutrition and growth.
Incorrect choices:
A: Clear bilateral breath sounds are normal in a newborn and not an expected sign that the nurse needs to assess for abnormalities.
D: Cyanosis can be a concerning sign but is not listed as an expected sign to assess in the question.
F and G: No additional choices were provided in the question.
Extract:
A nurse is providing teaching to a parent of a preschooler client who has eczema.
Question 3 of 5
Which of the following Instructions should the nurse include In the teaching?
Correct Answer: C
Rationale:
Rationale: The correct answer is C. Dressing the child in loose-fitting cotton clothing helps prevent irritation by allowing the skin to breathe and reducing friction. Woolen clothes (
A) can irritate sensitive skin. Bathing daily with hot water and mild soap (
B) can strip the skin of natural oils, leading to dryness and irritation. Avoiding moisturizers (
D) can worsen dry skin conditions. Overall, choice C promotes skin health and comfort, making it the most appropriate instruction.
Extract:
The nurse is caring for a newborn with a Ventricular-Septal Defect (VSD).
Question 4 of 5
The nurse should recognize that the signs and symptoms of this defect are? (Select All That Apply.)
Correct Answer: B,D,E
Rationale: The correct signs and symptoms for the defect described are frequent lung infections (
B), dyspnea (
D), and heart murmur (E).
- Frequent lung infections indicate respiratory issues commonly seen in the defect.
- Dyspnea is a common symptom due to respiratory complications.
- A heart murmur suggests possible cardiovascular involvement.
Swelling in all extremities (
A) is not typically associated with this defect. Standard weight and growth percentile (
C) may vary depending on individual circumstances, but it is not a primary symptom.
Extract:
A nurse is providing care for an infant with new casts for the treatment of club foot.
Question 5 of 5
Which intervention is appropriate in promoting the infant's comfort and preventing complications?
Correct Answer: A
Rationale: The correct answer is A: Elevating the legs on a pillow. Elevating the legs helps improve circulation, reduce swelling, and promote comfort in infants with casts. This intervention prevents complications such as pressure ulcers and circulation problems. Applying heat therapy (
B) can actually increase swelling and discomfort. Removing casts for bathing (
C) can compromise the integrity of the cast and lead to complications. Encouraging crawling and weight-bearing (
D) can worsen the condition and delay healing.