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:
Rationale: The correct answer is A: Disseminated intravascular coagulation and hydrocephalus. In bacterial meningitis, the inflammatory response can lead to disseminated intravascular coagulation, causing widespread blood clotting and potential bleeding. Additionally, inflammation in the brain can obstruct the flow of cerebrospinal fluid, leading to hydrocephalus.
Incorrect
Choices:
B: Hypothermia and seizures - While seizures can occur in bacterial meningitis, hypothermia is not a common complication.
C: Sepsis and respiratory failure - While sepsis can occur, it is not the primary risk in bacterial meningitis. Respiratory failure is not a common complication.
D: Shock and hearing loss - Shock is not a common complication of bacterial meningitis, and while hearing loss can occur, it is not the primary risk in this case.
Extract:
A nurse is assessing a school-age child who is receiving cefazolin.
Question 2 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Nausea. Nurses should monitor for nausea as it is a common adverse effect of many medications and can impact a patient's well-being. Nausea can lead to decreased oral intake and affect medication adherence. Constipation (
B) and increased appetite (
D) are not typically considered adverse effects that nurses need to monitor. Hypertension (
C) may be monitored for certain medications, but it is not a general adverse effect to monitor for all patients.
Extract:
A nurse is providing teaching to an adolescent who has vulvovaginitis.
Question 3 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Apply a warm, moist compress three times per day. This statement should be included in teaching because it promotes wound healing by increasing blood flow and promoting drainage. A: Scented baby powder can cause irritation and should be avoided. C: Feminine deodorant pads can disrupt the natural pH balance of the vagina. D: Nylon underwear can trap moisture and lead to infection.
Extract:
A nurse is caring for an adolescent who is scheduled for insertion of an intrauterine device.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Witness the adolescent's signature on the consent form. This is the appropriate action because it ensures that the adolescent has personally consented to the procedure. It is important for the nurse to witness the signature to confirm that the adolescent understands the procedure and its risks. This also upholds the principle of autonomy and informed consent.
A: Encouraging the adolescent to wait to ask questions is not appropriate as it may delay informed decision-making.
B: Calling the guardian for verbal consent is not sufficient for a procedure requiring formal written consent.
C: Rescheduling the procedure without written consent does not address the issue of obtaining proper consent.
Summary: Witnessing the adolescent's signature on the consent form is crucial for ensuring informed consent and respecting the adolescent's autonomy.
Extract:
A nurse is assessing a child who has bacterial pneumonia.
Question 5 of 5
Which of the following findings should the nurse identify as a potential risk for aspiration?
Correct Answer: B
Rationale: The correct answer is B: Neurological deficit. Neurological deficits can impair the ability to protect the airway and coordinate swallowing, increasing the risk of aspiration. Elevated temperature (
A) does not directly indicate aspiration risk. Inspiratory wheezing (
C) suggests airway narrowing but not necessarily aspiration risk. Rapid respirations (
D) can be a sign of respiratory distress, but not specifically aspiration risk.