ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: Increased capillary refill time is not typically associated with hypoglycemia. It may indicate poor peripheral circulation. Shakiness or tremors are common signs of hypoglycemia, as the body responds to low blood sugar levels. Thirst is not typically associated with hypoglycemia. It may be a symptom of hyperglycemia, where blood sugar levels are high. While decreased appetite can occur with hypoglycemia, it is not as specific a symptom as shakiness.
Question 2 of 5
A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?
Correct Answer: B
Rationale:
Toddlers thrive on routines and consistency, which provide them with security and predictability.
Toddlers are in a stage of development where they assert their independence and autonomy by saying 'no' or 'mine' to almost everything. This is a normal and healthy behavior that reflects their growing sense of self and identity.
Toddlers are typically emotionally labile, meaning they can experience rapid changes in mood and emotions.
Toddlers may display increased independence rather than increased dependency as they strive to assert their autonomy.
Question 3 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: Neck vein distention is not typically associated with acetylsalicylic acid poisoning. Jaundice is not typically associated with acetylsalicylic acid poisoning. Polyuria is not typically associated with acetylsalicylic acid poisoning. Hyperpyrexia, or extremely high fever, is a common symptom of severe acetylsalicylic acid poisoning due to its effects on the central nervous system and metabolism.
Question 4 of 5
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: A
Rationale: Oral electrolyte solution helps prevent dehydration and replaces lost electrolytes in infants with acute diarrhea, making it the most appropriate choice. Applesauce may worsen diarrhea due to its high sugar content. White grape juice is also high in sugar and may worsen diarrhea. Chicken soup is not recommended as it may be too heavy and rich for an infant with acute diarrhea.
Question 5 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: Kyphosis, or curvature of the spine, is not typically an urgent concern in sickle cell anemia. Constipation can occur but is not typically an urgent complication. Enuresis, or bedwetting, may be a concern but is not typically an urgent complication. Facial twitching could indicate neurological involvement or a stroke, which is a serious complication of sickle cell anemia and requires immediate attention.