Questions 132

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ATI RN Pediatrics 2023 Questions

Extract:

Adolescent requesting testing for STIs


Question 1 of 5

A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take?

Correct Answer: A

Rationale:
Correct Answer: A. Adolescents can consent to STI testing confidentially in many jurisdictions. B. Social workers can’t consent. C. Parental consent isn’t required. D. Delaying testing violates autonomy and delays care.

Extract:

School-age child with pertussis


Question 2 of 5

A nurse is caring for a school-age child who has pertussis. Which of the following actions should the nurse take?

Correct Answer: C

Rationale:
Correct Answer: C. Pertussis is reportable to track and prevent outbreaks. A. 48-hour isolation isn’t standard; droplet precautions last longer. B. Vaccine is preventive, not treatment. D. Fluid restriction risks dehydration.

Extract:

5-year-old male 18 kg (39.7 lb) admitted following a motor-vehicle crash. Surgical procedure: L leg open reduction and fixation, L arm closed reduction and fixation. Vital Signs: Pulse rate 68/min, Respiratory rate 12/min, Blood pressure 80/42 mm Hg, Temperature 38.6° C (101.5° F), Oxygen saturation 91%. Medications: 0.9% sodium chloride IV at 100 mL/hr, Morphine 0.5 mg/hr IV, Acetaminophen 200 mg PO every 4 hr PRN for temperature >38° C


Question 3 of 5

A nurse is caring for a child who is 2 hr postoperative. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Comparing pedal pulses assesses circulation post-orthopedic surgery, the priority to detect complications like compartment syndrome. B. Sedation is secondary. C. Pain assessment follows circulation check. D. Temperature is less urgent.

Extract:

Child with sickle cell anemia


Question 4 of 5

A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?

Correct Answer: A

Rationale: Facial twitching may signal a stroke, a critical sickle cell complication requiring immediate reporting. B. Kyphosis is chronic, not urgent. C. Enuresis is common, not priority. D. Constipation is manageable, not critical.

Extract:

Toddler with a short leg cast


Question 5 of 5

A nurse is caring for a toddler who has a short leg cast. Which of the following findings should the nurse report to the provider?

Correct Answer: C

Rationale:
Correct Answer: C. Pallor suggests compromised circulation, requiring reporting. A. Warmth is normal. B. Pulse is a good sign. D. Mobility indicates nerve function.

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