ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
Correct Answer: D
Rationale: The child's throat pain is expected post-tonsillectomy and can be managed using analgesics or an ice collar. However, this is not a priority finding compared to frequent swallowing which may indicate bleeding which is a life-threatening complication of tonsillectomy. Refusing clear liquids may indicate discomfort but is not as urgent as a potential increase in throat pain. Crying often may be a response to discomfort but does not necessarily indicate a complication requiring immediate intervention. This assessment finding indicates that the child might have bleeding in the throat, which is a life-threatening complication of tonsillectomy.
Question 2 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: Discarding the first voided specimen is necessary for a 24-hour urine collection to ensure the collection reflects a full 24-hour period. Voiding every hour is not a specific instruction for a 24-hour urine collection and may not be practical or feasible. Cleansing the perineum with a povidone-iodine solution is not necessary unless specifically instructed by the healthcare provider. Saving the final specimen in a separate container is not required.
Question 3 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: An increase in potassium levels is not an expected finding with furosemide; instead, hypokalemia is a potential side effect. Furosemide is a diuretic commonly used to decrease fluid retention and edema, so a decrease in peripheral edema would indicate the medication's effectiveness. A decrease in cardiac output is not a desired effect of furosemide and may indicate worsening heart failure. An increase in venous pressure would suggest venous congestion, which is not an indication of effective furosemide therapy.
Question 4 of 5
A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?
Correct Answer: B
Rationale: The first dose of inactivated polio virus vaccine (IPV) is typically administered at 2 months of age, not 12 months. The first dose of varicella vaccine is usually given at 12 months of age. Human papillomavirus (HPV) vaccination typically begins around 11-12 years of age, not at 12 months. Hepatitis B vaccination usually starts at birth, not at 12 months of age.
Question 5 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: Kyphosis, or curvature of the spine, is not typically an urgent concern in sickle cell anemia. Constipation can occur but is not typically an urgent complication. Enuresis, or bedwetting, may be a concern but is not typically an urgent complication. Facial twitching could indicate neurological involvement or a stroke, which is a serious complication of sickle cell anemia and requires immediate attention.