ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 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 answer is A: Apply pressure just above the insertion site. This action is crucial to control the bleeding and prevent further complications. Applying pressure directly over the site helps to stop the bleeding and stabilize the child's condition. Monitoring the pulse distal to the insertion site (
B) is important but secondary to stopping the bleeding. Obtaining vital signs (
C) can wait until the bleeding is controlled. Reinforcing the dressing (
D) is not the priority as the dressing is already saturated with blood.
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 nephrotic syndrome, monitoring weight daily is crucial to assess fluid status and response to treatment. Weight gain indicates fluid retention, a common complication. Positioning the child supine (
B) is not relevant. Calorie intake should be sufficient to meet increased metabolic demands, so limiting it to 45 cal/kg/day (
C) is incorrect. Increasing fluid intake to 2 L/day (
D) may worsen fluid overload.
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. In cystic fibrosis, nutrition is crucial due to malabsorption issues. A dietitian can assess the child's nutritional needs, provide dietary recommendations, and help optimize nutrient intake. Referring to an occupational therapist (
B) would address activities of daily living, not specific to cystic fibrosis. Speech-language pathologists (
C) focus on speech and swallowing disorders, not directly related to cystic fibrosis. Physical therapists (
D) primarily address mobility and physical function, which may not be the priority in cystic fibrosis.
Question 4 of 5
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: B,C,D
Rationale: The correct laboratory tests to confirm rheumatic fever are CRP, ESR, and ASO titer.
1. CRP is a marker of inflammation and is elevated in rheumatic fever.
2. ESR measures the rate at which red blood cells settle in a tube of blood and is elevated in inflammatory conditions like rheumatic fever.
3. ASO titer detects antibodies produced in response to a recent streptococcal infection, a common trigger for rheumatic fever.
A: PTT measures blood clotting time and is not specific to rheumatic fever.
E: BUN is a measure of kidney function and is not useful in diagnosing rheumatic fever.
In summary, the correct tests help confirm rheumatic fever by assessing inflammation, immune response, and streptococcal infection.
Question 5 of 5
A nurse is planning care for a preschooler who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Establish a reward system. For children with autism spectrum disorder, establishing a reward system can help reinforce desired behaviors and encourage positive interactions. This intervention is effective in promoting learning and improving behavior. Maintaining extended eye contact (
A) may be overwhelming for a child with autism. Engaging in cooperative play (
C) might be challenging due to difficulties in social interactions. Holding the child during assessments (
D) may cause distress as individuals with autism may have sensory sensitivities.