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: The correct action is to apply pressure just above the insertion site. This is because the priority is to control the bleeding. Applying pressure helps to stop the bleeding and prevent further blood loss. Monitoring the pulse distal to the insertion site (choice
B) can be done after controlling the bleeding. Obtaining vital signs (choice
C) is important but not the first priority in this situation. Reinforcing the dressing (choice
D) can be done after the bleeding is under control. It is crucial to address the immediate issue of bleeding first before moving on to other assessments or interventions.
Question 2 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicate the treatment is effective?
Correct Answer: C
Rationale: The correct answer is C: "My child went to the bathroom two times when the alarm went off last night." This indicates the treatment is effective because the conditioning therapy involves using a bedwetting alarm to wake the child when they start to urinate, teaching them to wake up to use the bathroom. Going to the bathroom when the alarm goes off shows the child is responding to the alarm by waking up and using the bathroom, which is the desired outcome of the therapy.
Other choices are incorrect:
A: Holding urine for 15 minutes may not necessarily indicate treatment effectiveness.
B: Drinking less is not a direct indicator of treatment effectiveness for enuresis.
D: Kegel exercises do not directly relate to the effectiveness of conditioning therapy for enuresis.
Question 3 of 5
A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: A
Rationale: The correct answer is A. If a toddler receiving digoxin therapy has vomited 2 times in the last hour, it can lead to decreased absorption of digoxin and potentially lower therapeutic levels in the bloodstream. This situation requires a revision of the plan of care to ensure the toddler receives the necessary dose of digoxin.
Incorrect choices:
B: A digoxin level of 1.2 ng/mL falls within the therapeutic range of 0.8-2 ng/mL, so no immediate revision of the plan of care is needed.
C: An apical pulse of 100/min could be within the expected range for a toddler, especially when receiving digoxin therapy. Monitoring is important, but it may not require an immediate revision of the plan of care.
D: A potassium level of 4.0 mEq/L is within the normal range, so no revision of the plan of care is necessary based on this value.
Question 4 of 5
A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: B
Rationale: The correct answer is B: A decrease in peripheral edema. Furosemide is a loop diuretic that works by increasing urine output, reducing fluid retention, and decreasing edema in patients with heart failure.
Therefore, if the medication is effective, the nurse should expect to see a reduction in peripheral edema as a result of the decreased fluid volume in the body.
Choices A, C, and D are incorrect because an increase in potassium levels, a decrease in cardiac output, and an increase in venous pressure are not expected outcomes of furosemide therapy and would actually indicate an ineffective treatment or potential complications.
Question 5 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: The correct answer is B: Shakiness. In hypoglycemia, the body's blood sugar level drops too low, leading to symptoms like shakiness due to the release of stress hormones like adrenaline. Increased capillary refill (
A) is not associated with hypoglycemia. Thirst (
C) is more commonly seen in hyperglycemia. Decreased appetite (
D) is not a typical manifestation of hypoglycemia in a child with diabetes mellitus.