ATI RN
RN ATI Pediatric Nursing 2023 with NGN 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: C
Rationale: The correct answer is C: Apply pressure just above the insertion site. This is the first action the nurse should take as it helps to control the bleeding and prevent further blood loss. By applying pressure, the nurse can help stop the bleeding and stabilize the child's condition. Reinforcing the dressing (
Choice
A) may not address the immediate issue of active bleeding. Monitoring the pulse distal to the insertion site (
Choice
B) is important but should come after controlling the bleeding. Obtaining vital signs (
Choice
D) is also important but not the priority when dealing with active bleeding.
Question 2 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 correct answer is A: Weigh the child once per day. In the acute stage of nephrotic syndrome, daily weight monitoring is crucial to assess fluid status and renal function. It helps in evaluating response to treatment and detecting complications like fluid overload or dehydration promptly. Limiting calorie intake (
B) is not appropriate as children with nephrotic syndrome often need increased calories due to protein loss. Increasing fluid intake (
C) to 2 L/day may exacerbate edema, a common symptom of nephrotic syndrome. Positioning the child supine at bedtime (
D) is not relevant to managing nephrotic syndrome.
Question 3 of 5
A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Correct Answer: A
Rationale: The correct answer is A: Dietitian. For a child with cystic fibrosis, proper nutrition is crucial due to malabsorption issues. A dietitian can help create a personalized nutrition plan to ensure the child receives sufficient nutrients. Referring to a dietitian is essential to optimize the child's growth and overall health. Physical therapists (
B), speech-language pathologists (
C), and occupational therapists (
D) are important members of the team but are not the first priority for a child with cystic fibrosis. They may be needed later depending on the child's specific needs.
Extract:
A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI). Nurses' Notes: 0700: 7-year old client who weighs 18.1kg (39.9lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor. Vital Signs: 0715: Temperature: 38 °C (100.4° F). Heart rate: 80/min. Respiratory rate: 22/min. Blood pressure: 106/65 mm Hg. 0930: Temperature: 38.4°C (101.1° F). Heart rate: 90/min. Respiratory rate: 23/min. Blood pressure: 105/65 mm Hg. Provider Prescriptions: sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO. salicylic acid 20mg/kg/dose every 4hr as needed for pain and fever.
Question 4 of 5
The nurse is planning care for the client. For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Potential Intervention | Anticipated | Contraindicated |
|---|---|---|
| Educate the child about proper perineal hygiene. | ||
| Administer sulfamethoxazole and trimethoprim | ||
| Administer salicylic acid for pain and fever | ||
| Ensure the child receives a maximum of 1,200 mL/day of fluids. | ||
| Advise the child's guardian about the use of cotton underwear. |
Correct Answer: A,B,E
Rationale: [1, 0, 1]
The correct answer is A, B, and E.
- A: Educating the child about proper perineal hygiene is anticipated to prevent infections.
- B: Administering sulfamethoxazole and trimethoprim is anticipated for treating infections.
- E: Advising the child's guardian about the use of cotton underwear can help maintain proper hygiene.
C: Administering salicylic acid for pain and fever is contraindicated as it is not suitable for treating infections.
D: Ensuring the child receives a maximum of 1,200 mL/day of fluids is not relevant to preventing infections.
Extract:
A nurse is caring for a 3-year-old child. Nurse's Notes: 0730: Child presents to the emergency department (ED). Guardians report the child woke up coughing with a low-grade fever. Child appears alert and restless in guardian's arms. Respirations easy, no cough noted. 0800: Child became agitated. Hoarse cry noted with audible inspiratory stridor. Barking, nonproductive cough present. Vital Signs: 0730: Tympanic Temperature: 38.1°C (100.6° F). Heart Rate: 95/min. Respiratory Rate: 20/min. Oxygen Saturation: 98% on room air. 0800: Tympanic Temperature: 38.2°C (100.1°F). Heart Rate: 112/min. Respiratory Rate: 24/min. Oxygen Saturation: 96% on room air.
Question 5 of 5
The nurse is planning care for the client. For each of the following findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia.
| Assessment finding | Acute Laryngotracheobronchitis | Pneumonia |
|---|---|---|
| Irritability | ||
| Cough (barking at times) | ||
| Stridor | ||
| Temperature |
Correct Answer: A,B,C
Rationale:
To determine if the finding is consistent with acute laryngotracheobronchitis or pneumonia, we need to consider the characteristic symptoms of each condition.
A: Irritability is a common symptom seen in both conditions due to respiratory distress.
B: Cough is specific to acute laryngotracheobronchitis, known as croup.
C: Stridor, a high-pitched sound on inspiration, is a hallmark of acute laryngotracheobronchitis.
D: Temperature is a non-specific symptom and can be present in both conditions.
Therefore, the correct answer is A, B, C as irritability, cough , and stridor are more indicative of acute laryngotracheobronchitis compared to pneumonia.