ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
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 1 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: The correct answer is A, B, D, E, and F. These findings are crucial for immediate follow-up due to their significance in assessing the child's overall health status and potential complications.
A: Neurologic assessment is vital to detect any neurological deficits or changes.
B: Hemoglobin level can indicate anemia or other blood disorders.
D: White blood cell count (WB
C) helps in identifying infection or inflammation.
E: Temperature abnormalities suggest infection or other serious conditions.
F: Abdominal assessment is necessary to detect any gastrointestinal issues.
Choices C and G are not as urgent as they do not directly indicate potential life-threatening conditions requiring immediate intervention.
Extract:
A nurse is performing a physical assessment for a 13-year-old adolescent.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because having the child bend forward at the waist and checking for asymmetry of the scapula is a specific action related to assessing for scoliosis. This position helps in identifying any irregularities in the alignment of the spine. Option B is incorrect as auscultating the abdomen for bowel sounds is unrelated to the scenario. Option C, using the FACES scale, is more applicable for assessing pain intensity, not for assessing scoliosis. Option D, observing abdominal movement for respiratory rate, is also not relevant to the assessment of scoliosis.
Extract:
A nurse is assessing an infant who has congestive heart failure.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Tachypnea. In a patient experiencing pain or anxiety, tachypnea (increased respiratory rate) is a common finding due to the body's sympathetic response. This occurs as a result of increased levels of adrenaline and cortisol, leading to rapid breathing as the body prepares for "fight or flight." Increased urine output (
A) is not typically associated with pain or anxiety. Bradycardia (
B) and increased blood pressure (
C) are less likely findings in this situation, as the sympathetic response typically leads to increased heart rate and blood pressure.
Extract:
A nurse is assessing a child who has rubeola.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Koplik spots. This finding is associated with measles, and the nurse should expect it in a patient with the disease. Koplik spots are small, white spots with a bluish-white center on the buccal mucosa opposite the molars. The presence of Koplik spots is pathognomonic for measles. Lymphadenopathy (choice
A) is not a specific finding related to measles. Steatorrhea (choice
B) is not associated with measles but rather with malabsorption syndromes. Paroxysmal coughing (choice
D) is more indicative of pertussis. In summary, Koplik spots are a key finding in measles, making choice C the correct answer.
Extract:
A nurse is providing teaching about home care to a parent of a 3-year-old child who has a fever.
Question 5 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Apply a light blanket if the child begins to shiver. This instruction is appropriate as shivering indicates the child is cold, and using a light blanket can help regulate their body temperature. B is incorrect as waking a child every 4 hours to drink apple juice may disrupt their sleep cycle. C is incorrect because taking the child's temperature every 10 minutes after acetaminophen administration is excessive and not necessary. D is incorrect as placing ice packs on the child's armpits and groin can lead to hypothermia and should not be done.