ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
School-age child receiving morphine
Question 1 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: C
Rationale:
Correct Answer: C. Nausea is a common side effect of morphine. A. SJS isn’t linked to morphine. B. Morphine doesn’t affect wound healing. D. Renal failure isn’t a typical side effect.
Extract:
Toddler with a short leg cast
Question 2 of 5
A nurse is caring for a toddler who has a short leg cast. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale:
Correct Answer: C. Pallor suggests compromised circulation, requiring reporting. A. Warmth is normal. B. Pulse is a good sign. D. Mobility indicates nerve function.
Extract:
Toddler with manifestations of epiglottitis
Question 3 of 5
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale:
Correct Answer: D. Epiglottitis spreads via droplets; initiating precautions first protects others. A. X-ray aids diagnosis but isn’t first. B. Intubation prep is secondary. C. Antibiotics follow precautions.
Extract:
Nurses notes 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter.
Question 4 of 5
The child is at risk for developing ___ and ___.
Correct Answer: A,B
Rationale:
Correct Answer: Dropdown Group 1: pyelonephritis, Dropdown Group 2: renal scarring. Given the clinical presentation and the context, the most appropriate words to fill in the blanks are 'pyelonephritis' and 'renal scarring.'
Rationale: 1. Pyelonephritis: The child presents with a fever and lethargy, which are common signs of a urinary tract infection (UTI). The use of a sterile straight catheter to obtain a urine sample suggests that the healthcare provider is investigating a potential UTI, which in children can progress to pyelonephritis if not promptly treated. 2. Renal scarring: If pyelonephritis occurs, it can lead to renal scarring, especially in young children. Early diagnosis and treatment of UTIs are crucial to prevent renal scarring.
Extract:
Preschool-age child with sleep terrors
Question 5 of 5
A nurse is teaching a parent of a preschool-age child about management of sleep terrors. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale:
Correct Answer: A. Staying uninvolved avoids reinforcing sleep terrors unless safety is an issue. B. Parent’s bed risks dependency. C. Counseling isn’t first-line. D. TV disrupts sleep cycles.