ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Ataxia. Inhalation of gasoline can cause central nervous system depression, leading to symptoms such as ataxia, which is the loss of full control of bodily movements. Pinpoint pupils (choice
A) are more indicative of opioid overdose. Hyperactive reflexes (choice
C) are not typically associated with gasoline inhalation. Hypothermia (choice
D) is more commonly seen with exposure to cold environments or in cases of severe shock. Ataxia is the most likely neurological manifestation of gasoline inhalation due to its effects on the central nervous system.
Question 2 of 5
A nurse is teaching home care to the parents of a preschool-age child who has heart failure. 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: Children with heart failure have reduced cardiac output, leading to fatigue. Providing periods of rest helps conserve energy and prevent exhaustion, improving the child's overall well-being and supporting cardiac function.
Summary of Incorrect
Choices:
B: Increasing oxygen flow rate based on cyanosis can lead to oxygen toxicity and is not a recommended approach for managing heart failure.
C: Digoxin is a crucial medication for heart failure management. Withholding it based solely on heart rate without consulting a healthcare provider can be dangerous.
D: Weighing the child once a month is not frequent enough for monitoring fluid status in heart failure, where daily weights are recommended.
Extract:
A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10. Vital Signs: Temperature 37.8° C (100° F), Heart rate 100/min, Blood pressure 110/72 mm Hg, Respiratory rate 20/min, Oxygen saturation 95% on room air. Assessment: Awake, alert, and oriented x 3, Yellow sclera of eyes noted bilaterally, Right upper quadrant tender to palpation, Hands painful to touch and swollen bilaterally, Right knee is swollen, warm to palpation, and the client reports pain as 8 on a scale of 0 to 10, Client is tearful and grimacing during the examination.
Question 3 of 5
The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.
Correct Answer: A,B,C,F
Rationale: The correct interventions are A, B, C, and F. A: Ensuring the pneumococcal vaccine is current helps prevent infections. B: Administering folic acid as prescribed supports the adolescent's growth and development. C: Monitoring oxygen saturation is crucial for detecting respiratory issues in adolescents. F: Administering meperidine IV for pain management is appropriate. Incorrect choices: D: Placing the client on strict bed rest may lead to deconditioning and complications. E: Applying cold compresses may not be appropriate for all conditions and could worsen inflammation. G: Restricting oral intake is not necessary unless there are specific medical indications.
Extract:
Question 4 of 5
A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Tachypnea. In heart failure, the heart cannot pump effectively, causing fluid to build up in the lungs, leading to respiratory distress and tachypnea (rapid breathing). Tremors and increased appetite are not typically associated with heart failure. Bradycardia (slow heart rate) is not a common clinical manifestation of heart failure; instead, it can be a sign of worsening condition.
Question 5 of 5
A nurse is preparing to administer an oral medication to a preschooler. Which of the following actions should the nurse take to encourage acceptance of the medication?
Correct Answer: A
Rationale: The correct answer is A: Provide an ice pop after administering the medication. Offering a reward or positive reinforcement, such as an ice pop, after taking the medication can encourage the preschooler to accept it. This creates a positive association with the medication, increasing the likelihood of compliance.
Choice B, giving milk with the medication, may not be effective if the child dislikes the taste of the medication.
Choice C, mixing the medication with food, may make it difficult to ensure the full dose is taken.
Choice D, diluting the medication with water, may alter its effectiveness and taste, leading to resistance.