ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: This is the first step to control bleeding and prevent further blood loss. Monitoring the distal pulse is important, but controlling bleeding takes precedence. Vital signs can wait momentarily until the bleeding is under control. Reinforcing the dressing may be necessary, but controlling bleeding is the immediate priority.
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 is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The nurse should weigh the child once per day, preferably in the morning and using the same scale and clothing, to monitor fluid status and response to treatment. Weight is the most accurate indicator of fluid balance in children with nephrotic syndrome. Positioning the child supine at bedtime is not specifically indicated for the acute stage of nephrotic syndrome. This can worsen edema and respiratory distress. Limiting calorie intake to 45 cal/kg/day is too low and can cause malnutrition and growth failure. Increasing fluid intake to 2 L/day is contraindicated in a child with nephrotic syndrome, as it can exacerbate edema and fluid overload.
Question 4 of 5
A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Vomiting may occur with various gastrointestinal conditions but is not a specific finding associated with necrotizing enterocolitis. Bloody stools are more characteristic of this condition. Hypertension is not typically associated with necrotizing enterocolitis. Instead, infants may present with hypotension due to sepsis or shock. A rounded abdomen is a common finding in necrotizing enterocolitis due to abdominal distention from gas and fluid accumulation in the intestines. Tachypnea may occur as a result of sepsis or respiratory distress but is not specific to necrotizing enterocolitis.
Question 5 of 5
A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Impetigo is caused by bacteria, not viruses, so sealing soft toys in a plastic bag is unnecessary. Applying bactericidal ointment to lesions helps kill the bacteria causing impetigo and promotes healing. Soaking hairbrushes in boiling water is not typically necessary for the treatment of impetigo. Acyclovir is an antiviral medication used to treat herpes simplex virus infections, not bacterial infections like impetigo.