ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
Nurses' Notes Day 1, 1020: Child is a direct admit from a pediatric clinic with fever, chills, irritability for 2 days, prior URI 2 weeks ago, no prior conditions, fully immunized. 1030: Child reports nausea, headache (7/10), lethargic, nuchal rigidity, cervical lymph slightly enlarged, capillary refill 4 seconds.
Question 1 of 5
A nurse is admitting an 8-year-old child to the pediatric unit. The nurse suspects the child has bacterial meningitis. Select words from the choices to fill in each blank in the following sentence: The child is at greatest risk for developing ___ and ___.
Correct Answer: A
Rationale: DIC (due to petechiae and sepsis risk) and hydrocephalus (due to CSF obstruction from meningitis) are significant risks.
Extract:
A nurse is teaching a parent of a toddler how to prepare for the arrival of their newborn sibling.
Question 2 of 5
Which of the following statements by the parent indicates to the nurse an understanding of the teaching?
Correct Answer: B
Rationale: Regression like demanding a pacifier is common, showing understanding.
Extract:
A nurse is assessing a school-age child who is receiving IV fluids to treat dehydration.
Question 3 of 5
Which of the following findings should indicate to the nurse that the fluid replacement therapy has been effective?
Correct Answer: A
Rationale: Capillary refill <2 seconds indicates restored hydration and perfusion.
Extract:
A nurse is assessing an infant who has congestive heart failure.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Tachypnea occurs in CHF due to pulmonary congestion from fluid overload.
Extract:
A nurse is assessing a school-age child prior to administering digoxin.
Question 5 of 5
For which of the following findings should the nurse withhold the medication?
Correct Answer: C
Rationale: Heart rate of 64/min is below the threshold (70 bpm for children) for digoxin administration due to risk of bradycardia. Other findings are not contraindications.