ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis?
Correct Answer: A
Rationale: A. Tachypnea (rapid breathing) is a common clinical manifestation of heart failure due to decreased cardiac output and inadequate tissue perfusion. B. Tremors are not typical. C. Increased appetite is not associated; decreased appetite is more common. D. Bradycardia is not typical; tachycardia is more common.
Question 2 of 5
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: A. Allowing the child to sit on the parent's lap can provide comfort and support during the procedure. B. While the electrocardiogram (ECG) machine may have alarms, they are not typically related to abnormal heart rhythms during the procedure. C. ECG leads are typically placed on the chest, not the back. D. The duration of an ECG is relatively short, usually only a few minutes.
Extract:
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. Vital Signs: Temperature 37.8° C (100° F), Heart rate 100/min, Blood pressure 110/72 mm Hg, Respiratory rate 20/min, Oxygen saturation 95% on room air. Assessment: Awake, alert, and oriented x 3, Yellow sclera of eyes noted bilaterally, Right upper quadrant tender to palpation, Hands painful to touch and swollen bilaterally, Right knee is swollen, warm to palpation, and the client reports pain as 8 on a scale of 0 to 10, Client is tearful and grimacing during the examination.
Question 3 of 5
The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.
Correct Answer: A,B,C,F
Rationale: A. Clients with sickle cell disease are at increased risk for infections, including those caused by pneumococcus. Ensuring vaccination status helps prevent future complications. B. Folic acid supplementation may be part of the overall management of sickle cell disease, but it is not a priority intervention during a vaso-occlusive crisis. C. Vaso-occlusive crises can lead to tissue hypoxia due to impaired blood flow. Continuous monitoring of oxygen saturation helps in assessing tissue perfusion and detecting hypoxemia early. D. Placing the client on strict bed rest can increase the risk of thrombosis and impair circulation. E. Cold can cause vasoconstriction, worsening the pain and sickling process. Warm compresses are more appropriate for promoting comfort and improving circulation. F. Meperidine (Demerol) is a potent opioid analgesic that can help alleviate severe pain associated with vaso-occlusive crises. G. The nurse should not restrict oral intake, as hydration is important to prevent dehydration and further sickling. H. Hydroxyurea is used to prevent vaso-occlusive crises in patients with sickle cell disease but is not typically administered during an acute crisis. This is a medication that reduces the frequency and severity of vaso-occlusive crises by increasing the production of fetal hemoglobin, which prevents sickling.
Extract:
Question 4 of 5
A nurse is providing teaching to a 15-year-old adolescent about a medication used to treat a sexually transmitted infection. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: D. Asking how the client prefers to learn new information demonstrates respect for the adolescent's autonomy and preferences, facilitating effective communication and understanding. A, B, C. These do not prioritize the adolescent's involvement or preferences.
Question 5 of 5
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: D. Placing intubation equipment at the bedside is the first priority because epiglottitis can cause airway obstruction and respiratory distress. A, B, C. These are important but not the immediate priority compared to securing the airway.