ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider?
Correct Answer: A
Rationale: The correct answer is A: Tachypnea. Respiratory syncytial virus (RSV) can cause respiratory distress in infants. Tachypnea, or rapid breathing, is a concerning sign that indicates the infant is having difficulty breathing and may need immediate medical intervention. Reporting tachypnea promptly to the provider allows for timely assessment and appropriate treatment to prevent respiratory compromise.
Incorrect choices:
B: Coughing - While coughing is common in RSV, it is not as urgent as tachypnea in indicating respiratory distress.
C: Rhinorrhea - Runny nose is a common symptom of RSV but does not require immediate reporting as it is not a critical sign of distress.
D: Pharyngitis - Throat inflammation may occur with RSV but is not as urgent as tachypnea in indicating respiratory distress.
Question 2 of 5
A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hyperpyrexia. Acetylsalicylic acid poisoning can lead to metabolic acidosis, which can cause hyperpyrexia (extremely high fever). This is due to the toxic effects on the central nervous system. Neck vein distention (
A) is not typically associated with acetylsalicylic acid poisoning. Jaundice (
B) is more commonly seen in liver toxicity. Polyuria (
C) is not a typical symptom of acetylsalicylic acid poisoning. In summary, hyperpyrexia is the most likely manifestation of acute acetylsalicylic acid poisoning in a preschool-age child, making it the correct answer.
Question 3 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Discard the first voided specimen. This is because the first voided specimen may contain substances that have accumulated overnight and are not representative of the 24-hour collection. It is important to start the collection after discarding the first void and then collect all subsequent voids over the next 24 hours.
Choice B is incorrect as voiding every hour is not necessary for a 24-hour urine collection.
Choice C is incorrect because cleansing with a povidone-iodine solution is not typically required for a urine collection.
Choice D is incorrect because saving the final specimen in a separate container is unnecessary and may lead to confusion.
Extract:
History and Physical: A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10.
Question 4 of 5
Select the 5 interventions the nurse should include.
Correct Answer: B,C,D
Rationale: The correct interventions are B, C, and D. B: Hydroxyurea helps decrease sickle cell crisis frequency. C: Meperidine is used for pain management in sickle cell disease. D: Pneumococcal vaccine helps prevent infections. A is incorrect as oral intake should not be restricted in sickle cell crisis. E, F, and G are not provided in the question.
Extract:
Question 5 of 5
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Offer commercially prepared formula. This is the best option because goat milk is not recommended for infants under 1 year old due to its high protein and mineral content, which can strain the infant's kidneys. Commercially prepared formula is specifically designed to meet the nutritional needs of infants and is a safer and more appropriate choice. Warming the goat's milk (choice
A) does not address the underlying issue of nutritional inadequacy. Switching to soy milk (choice
B) is not recommended as a first-line alternative to goat milk. Reinitiating breastfeeding (choice
D) may not be feasible or desired by the parent and does not address the immediate nutritional concerns.