ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Diagnostic Results Cerebrospinal fluid Pressure: 22 cm H2O (less than 20 cm H2O) Color: Cloudy (clear or colorless) Blood: None (none) Cells RBC: 0 (0) WBC: 36 cells/mcL (0 to 30 cells/mcL) Protein: 92 mg/dL (up to 70 mg/dL) Glucose: 36 mg/dL (50 to 75 mg/dL) Serum glucose: 64 mg/dL (60 to 100 mg/dL)
Question 1 of 5
A nurse in an emergency department is caring for a 3-month-old infant. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A. CSF results suggest bacterial meningitis (elevated pressure, cloudy, high WBC, high protein, low glucose), requiring immediate antibiotics like ceftriaxone. B. Low CSF glucose relates to infection, not requiring hourly testing. C. Vaccination is preventive, not treatment. D. Neutropenic precautions are for low neutrophils, not indicated here.
Extract:
Preschool-age child postoperative following a tonsillectomy
Question 2 of 5
A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale:
Correct Answer: C. Frequent throat clearing may indicate bleeding, a serious complication post-tonsillectomy, requiring immediate inspection. A. Water could worsen bleeding. B. Pain relief is secondary to checking for bleeding. D. Ice helps swelling but isn’t first.
Extract:
Question 3 of 5
A nurse is assessing a child for scabies. Which of the following findings should the nurse identify as a manifestation of scabies?
Correct Answer: A
Rationale:
Correct Answer: A. Burrows on the hands are characteristic of scabies. B. Scaly lesions aren’t typical. C. Bull’s eye suggests Lyme disease. D. Scalp rashes aren’t common in scabies.
Extract:
Adolescent experiencing a vaso-occlusive crisis with painful joints, fever, and abdominal pain
Question 4 of 5
A nurse is developing a plan of care for an adolescent who is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale:
Correct Answer: C. IV fluids reduce blood viscosity and sickling in vaso-occlusive crisis. A. Antispasmodics aren’t indicated. B. Ice worsens vasoconstriction. D. Hyperkalemia isn’t a primary concern.
Extract:
20-year-old adolescent with syphilis
Question 5 of 5
A nurse is providing teaching for a 20-year-old adolescent who has syphilis. Which of the following statements should the nurse make?
Correct Answer: D
Rationale:
Correct Answer: D. Syphilis is reportable for public health tracking. A. Metronidazole isn’t for syphilis (penicillin is). B. Patient is an adult; parents don’t need contact. C. Retesting isn’t in a week; it’s later post-treatment.