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: Airborne precautions are indicated for meningitis risk, supported by elevated WBC (14,000/mm³) suggesting infection.
Extract:
A nurse is providing teaching to a 14-year-old adolescent who has a new diagnosis of type 1 diabetes mellitus.
Question 2 of 5
Which of the following statements by the adolescent indicates an understanding of the teaching?
Correct Answer: B
Rationale: Increasing food intake before exercise prevents hypoglycemia, showing understanding of diabetes management.
Extract:
Provider Prescriptions Day 1, 1020: Admit directly to pediatric unit, Keep child NPO, Obtain comprehensive metabolic panel and blood cultures STAT, Vital signs every 30 min, then every hr x 4, then every 4 hr; Diagnostic Results Day 1, 1040: Potassium 3.8 mEq/L (3.4 to 4.7 mEq/L), Hemoglobin 9.5 g/dL (10 to 15.5 g/dL), Hematocrit 30% (32% to 44%), RBC count 4.2 x 106/μL (4.0 to 5.5 x 10/μL), WBC count 14,000 mm3 (5,000 to 10,000 mm3), Platelets 350,000/mm3 (150,000 to 400,000/mm3), Glucose 90 mg/dL (< 200 mg/dL), Blood cultures pending
Question 3 of 5
A nurse is admitting an 8-year-old child to the pediatric unit. A nurse is reviewing the child's electronic medical record (EMR). Which of the following findings should the nurse identify as requiring immediate follow-up? Select the 5 findings.
Correct Answer: A,B,D,E,F
Rationale: Neurologic changes, low hemoglobin (9.5 g/dL), elevated WBC (14,000/mm³), abdominal issues, and fever (38.7°
C) indicate infection and require urgent follow-up.
Extract:
A nurse is assessing a school-age child who is receiving IV fluids to treat dehydration.
Question 4 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 caring for a school-age child following a femoral venous cardiac catheterization.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Keeping the extremity straight for 4-6 hr prevents bleeding at the site.