ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
Flow Sheet Day 1, 1030: Temperature 38.7° C (101.7°F), Heart rate 114/min, Blood pressure 114/80 mm Hg, Respiratory rate 26/min, SpO2 97% on room air, Height 122 cm (48 in), Weight 29 kg (64 lb); 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, capillary refill 4 seconds.
Question 1 of 5
A nurse is admitting an 8-year-old child to the pediatric unit. Select 1 condition and 1 client finding to fill in each blank in the following sentence: The nurse should anticipate a provider's prescription for ___ due to the child's ___.
Correct Answer: A
Rationale: The correct answer is A: Initiating airborne precautions due to WBC. The rationale is as follows:
1. The mention of "WBC" indicates a potential infectious condition, which may require airborne precautions to prevent transmission.
2. Airborne precautions are typically indicated for diseases like tuberculosis or measles, which can be spread through respiratory droplets.
3. In pediatric units, children are more susceptible to infections, making it crucial to implement appropriate precautions.
4. Initiating airborne precautions based on WBC levels aligns with infection control practices to protect both the child and others in the unit.
In summary, choice A is correct because it addresses the potential infectious nature of the child's condition, while the other options do not directly relate to the need for precautions based on laboratory findings or clinical assessment.
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, capillary refill 4 seconds.
Question 2 of 5
A pediatrician has evaluated the child and has written new prescriptions. The nurse is preparing to assist with a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,D,E,G
Rationale: Correct answer: A, D, E, G
A: Apply pressure to the puncture site following the procedure - This is important to prevent bleeding and promote clotting.
D: Ensure the guardian has signed the consent form prior to the procedure - This is a legal and ethical requirement to ensure informed consent.
E: Ensure the child voids prior to the procedure - This helps reduce the risk of post-procedure urinary retention.
G: Monitor for paresthesia and tingling in extremities following the procedure - This is important to assess for potential nerve damage or complications.
Incorrect choices:
B: Limit the child's fluid intake following the procedure - There is no need to limit fluid intake post-lumbar puncture.
C: Position the child in a prone position during the procedure - The child should be in a lateral decubitus position for a lumbar puncture.
F: Insert an indwelling urinary catheter during the procedure - There is no indication for inserting a catheter
Extract:
Flow Sheet Day 1, 1030: Temperature 38.7° C (101.7° F), Heart rate 114/min, Respiratory rate 26/min, Blood pressure 114/80 mm Hg, SpO2 97% on room air; Day 2, 0730: Temperature 38.9° C (102° F), Heart rate 104/min, Respiratory rate 24/min, Blood pressure 104/80 mm Hg, SpO2 98% on room air; Nurses' Notes Day 2, 0730: Drowsy and lethargic, nuchal rigidity present, mucous membranes pink and moist, cervical lymph slightly enlarged, respirations regular, radial pulse 2+, capillary refill <2 seconds, good skin turgor.
Question 3 of 5
A nurse is caring for the child the following day. Click to highlight the findings that indicate the child is progressing as expected.
Correct Answer: A,C,D,E,F,G,
Rationale: The correct choices indicate positive progress in the child's condition. Pink and moist mucous membranes (
A) indicate adequate perfusion. A radial pulse 2+ bilateral (
C) signifies good circulation. Capillary refill <2 seconds (
D) indicates proper blood flow. Active bowel sounds (E) suggest normal gastrointestinal function. Warm and dry extremities (F) indicate adequate circulation. Good skin turgor (G) reflects proper hydration status. These findings collectively show the child is progressing as expected.
Choices B is incorrect as clear breath sounds alone do not indicate overall improvement.
Extract:
A nurse is providing teaching about nutrition to the guardian of a school-age child who has lactose intolerance.
Question 4 of 5
The nurse should identify which of the following foods as the best source of calcium?
Correct Answer: A
Rationale: The correct answer is A: 1 cup raw broccoli. Broccoli is a high-calcium vegetable. It provides a good amount of calcium per serving, aiding in bone health. Raw broccoli retains more nutrients compared to cooked broccoli. The other choices are incorrect because: B: White bread lacks significant calcium content. C: One poached egg has minimal calcium. D: Peanut butter has negligible calcium content. E, F, G: No additional choices given.
Extract:
A nurse is providing teaching about participating in sports to a 12-year-old child who has hemophilia.
Question 5 of 5
Which of the following sports should the nurse recommend?
Correct Answer: D
Rationale: The correct answer is D: Bowling. The nurse should recommend bowling because it is a low-impact sport suitable for individuals of all ages and fitness levels. Bowling helps improve hand-eye coordination, balance, and social interaction. It is a safe and enjoyable activity that can be done indoors, making it accessible year-round. Additionally, bowling can be a stress-relieving and fun way to stay active.
Other choices are incorrect because basketball and soccer are high-impact sports that may not be suitable for everyone, especially those with certain health conditions or physical limitations. Gymnastics requires a higher level of flexibility and strength, which may not be suitable for everyone.