ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is assessing a child for scabies. Which of the following findings should the nurse identify as a manifestation of scabies?
Correct Answer: D
Rationale: D. Maculopapular skin burrows on the hand are a classic manifestation of scabies. A, B, C. These are not typical of scabies lesions, which appear as burrow-like lines.
Question 2 of 5
A nurse is caring for a child who has disseminated intravascular coagulation. Which of the following laboratory findings should the nurse expect?
Correct Answer: D
Rationale: DIC is characterized by widespread activation of coagulation, leading to consumption of platelets and decreased platelet count, which can result in bleeding tendencies. A. Decreased prothrombin time is incorrect as DIC typically causes prolonged clotting times. B. Increased Hgb level is incorrect as DIC may lead to anemia due to blood loss. C. Increased RBC is incorrect as DIC can cause anemia.
Extract:
Nurses' Notes 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter. Vital Signs 0930: Temperature 38.4° C (101.1° F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).
Question 3 of 5
Select words from the choices below to fill in each blank in the following sentence. The child is at risk for developing _______ and ______.
Correct Answer: A,D
Rationale: E. Pyelonephritis is a bacterial infection of the kidneys commonly associated with fever and lethargy, especially in young children. B. Renal scarring can occur as a complication of untreated or recurrent urinary tract infections (UTIs), particularly pyelonephritis.
Extract:
Question 4 of 5
A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. The child's parents ask for information on hemodialysis. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: C. Hemodialysis indeed involves circulating the blood outside the body through an artificial membrane in the dialysis machine to remove waste products and excess fluids. A. This describes peritoneal dialysis. B. Electrolyte solution is not used in hemodialysis. D. Hemodialysis is intermittent, not continuous.
Question 5 of 5
A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up-to-date with the current schedule. Which of the following immunizations should the nurse plan to administer? Select all that apply.
Correct Answer: A,B
Rationale: A. The MMR vaccine is typically administered at 12 months of age as part of routine immunization schedules. B. The varicella vaccine is typically administered at 12 months of age as part of routine immunization schedules. C. Rotavirus vaccine is given at 2, 4, and 6 months. D. Herpes zoster vaccine is not given to infants. E. HPV vaccine starts at age 11 or 12.