ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 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: C
Rationale: The correct answer is C: A decrease in peripheral edema. Furosemide is a loop diuretic that helps the body excrete excess fluid and sodium, reducing fluid retention and edema.
Therefore, a decrease in peripheral edema would indicate that the medication is effectively reducing fluid overload in the child with heart failure.
Incorrect answers:
A: An increase in potassium levels - Furosemide can cause potassium loss, leading to hypokalemia, so an increase in potassium levels would not indicate effectiveness.
B: A decrease in cardiac output - Furosemide's primary action is to reduce fluid volume, which can help improve cardiac output, so a decrease in cardiac output would not be an indication of effectiveness.
D: An increase in venous pressure - Furosemide's diuretic effect would reduce blood volume and venous pressure, so an increase in venous pressure would not be a sign of effectiveness.
Extract:
A nurse is caring for a child who has sickle cell anemia.
Question 2 of 5
Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Facial twitching. This finding is a potential sign of a neurological issue that may require immediate attention, such as a seizure or stroke. Enuresis, kyphosis, and constipation are important but not urgent concerns that can be addressed in a timely manner. Enuresis may indicate a urinary issue, kyphosis a spinal problem, and constipation a gastrointestinal issue. However, facial twitching suggests a more acute neurological issue that needs immediate assessment to prevent further complications.
Extract:
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea.
Question 3 of 5
Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: B
Rationale: The correct answer is B: Oral electrolyte solution. Infants are at risk of dehydration, especially during illnesses like diarrhea. Oral electrolyte solution helps replace lost fluids and electrolytes. White grape juice (
A) and applesauce (
D) may worsen diarrhea due to their high sugar content. Chicken soup (
C) is nutritious but may not provide the necessary electrolytes. Providing a detailed rationale helps guide the parent in making the best choice for the infant's health.
Extract:
Question 4 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: D
Rationale: The correct answer is D: Establish a reward system. This intervention is appropriate for a preschooler with autism spectrum disorder as it helps reinforce positive behaviors and encourages desired actions. By using a reward system, the nurse can motivate the child to engage in specific activities or tasks. Holding the child during assessments (
A) may not be appropriate as it can cause sensory overload. Maintaining extended eye contact (
B) may be overwhelming for a child with autism. Engaging in cooperative play (
C) may be challenging for a child with autism who may struggle with social interactions.
Extract:
The RN reviews therapeutic and nontherapeutic communication techniques with a group of nursing students.
Question 5 of 5
Which of the following demonstrates the use of therapeutic communication techniques?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates active listening and empathy by asking the patient to physically demonstrate a task, promoting understanding and trust.
Choice A lacks focus on the patient's experience.
Choice C is dismissive and lacks empathy.
Choice D offers reassurance but lacks active listening.
Choices E, F, and G are not provided.