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:
A nurse is reviewing the laboratory results of a school-age child who has glomerulonephritis.
Question 2 of 5
Which of the following laboratory findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Mild hematuria. This finding is expected in conditions like urinary tract infection or kidney stones, which can cause blood in the urine. Hyponatremia (
B) is low sodium in the blood, not a typical lab finding in these conditions. Absent urine protein (
C) is not commonly associated with urinary tract issues. Decreased blood potassium (
D) is more indicative of conditions like renal failure or certain medications. Hematuria is the most likely finding in this scenario, making it the correct choice.
Extract:
A nurse is caring for a 6-month-old infant who has a subdural hematoma.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Vomiting. In a pediatric patient with increased intracranial pressure (ICP), vomiting is a common finding due to pressure on the brainstem. Pinpoint pupils (choice
A) are seen in opioid overdose, not in increased ICP. A sunken fontanel (choice
B) may indicate dehydration, not increased ICP. Hypertonia (choice
C) is not typically associated with increased ICP.
Therefore, vomiting is the most relevant finding to expect in a patient with increased ICP.
Extract:
A nurse is caring for a preschooler who has a new diagnosis of celiac disease.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Pale, oily stools. This finding is indicative of malabsorption, possibly due to conditions like celiac disease or pancreatic insufficiency. Redcurrant, jelly-like stools (choice
A) may suggest intussusception. Increased hemoglobin level (choice
B) is not directly related to stool appearance. Hematemesis (choice
D) refers to vomiting blood, not stool characteristics.
Extract:
A nurse is planning a staff in-service about infection control measures to prevent the spread of influenza in school-age children.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: "Wear a face mask when working within 3 feet of a child who is infected." This instruction is important in preventing the spread of infectious diseases like influenza. Wearing a face mask helps to reduce the risk of inhaling respiratory droplets containing the virus. It is a crucial infection control measure for healthcare workers to protect themselves and others.
Choice B is incorrect because administering antibacterial medication is not the standard treatment for influenza, which is caused by a virus, not bacteria.
Choice C is incorrect as children are typically considered infectious for around 5-7 days, not 14 days.
Choice D is incorrect as the influenza vaccine is typically administered annually, not every 6 months.