ATI RN
ATI RN Pediatric Nursing 2023 II 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: C
Rationale: Inhalation of gasoline is more likely to cause hyperthermia due to its effects on the central nervous system and metabolic rate. Hyperactive reflexes are not typically associated with gasoline inhalation but rather with stimulant use such as amphetamines or cocaine. Ataxia, or lack of coordination, is a common neurological symptom of gasoline inhalation due to its toxic effects on the brain and nervous system. Pinpoint pupils are more commonly associated with opioid overdose, not gasoline inhalation.
Question 2 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicate the treatment is effective?
Correct Answer: C
Rationale: Holding urine for extended periods may indicate urinary retention, which is not the desired outcome of treatment for enuresis. Drinking less may not necessarily indicate treatment effectiveness and could lead to dehydration. Waking to urinate in response to the alarm indicates improved bladder control and responsiveness to conditioning therapy for enuresis. Kegel exercises primarily target pelvic floor muscles and may not directly address the underlying causes of enuresis.
Question 3 of 5
A nurse is planning care for a preschooler who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Maintaining extended eye contact may be challenging for children with autism spectrum disorder, as they may have difficulty with social interaction and communication. Establishing a reward system is beneficial for children with autism spectrum disorder as it provides positive reinforcement for desired behaviors, helping to encourage and maintain them. Engaging in cooperative play might be difficult for a child with autism spectrum disorder due to challenges in social interaction and communication.
Extract:
History and Physical: School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamins A, D, E, and K. Barrel-shaped chest, Clubbing of the fingers bilaterally, Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough
Question 4 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
Correct Answer: A,C,E
Rationale: A. Children with cystic fibrosis often have pancreatic insufficiency, leading to malabsorption of fats and fat-soluble vitamins. Pancreatic lipase supplements are necessary to aid in the digestion of fats. B. Acetaminophen is an analgesic and antipyretic that has no effect on the underlying cause of cystic fibrosis. C. Deficient levels of vitamins A, D, E, and K indicate malabsorption, necessitating supplementation with water-soluble vitamins to address nutritional deficiencies. D. Meperidine is an opioid analgesic that can cause respiratory depression and increase the risk of pulmonary complications. E. Dornase alfa (Pulmozyme) is a recombinant human deoxyribonuclease enzyme used in the management of cystic fibrosis to improve pulmonary function by reducing the viscosity of mucus in the airways.
Extract:
Question 5 of 5
A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: C
Rationale: The creatinine level is within the normal range. The BUN level is within the normal range. An elevated creatinine level suggests impaired kidney function, which could be a sign of nephrotoxicity from gentamicin. The BUN level is within the normal range.