ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
1-year-old child hospitalized
Question 1 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: A
Rationale: Keyboards are frequently touched, harboring pathogens. B. Gowns are single-use, low risk. C. Unopened formula is sterile. D. Diapers are hygienic.
Extract:
Preschool-age child in the immediate postoperative period following a tonsillectomy
Question 2 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: Frequent swallowing indicates possible hemorrhage, the priority due to its urgency. A. Crying is common but less critical. B. Refusing liquids is concerning but secondary. C. Pain is expected, not the top priority.
Extract:
Preschool-age child with heart failure
Question 3 of 5
A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale:
Correct Answer: A. Rest prevents overexertion in heart failure. B. Oxygen should be per prescription, not adjusted freely. C. Digoxin is withheld for low, not high, pulse. D. Daily weights monitor fluid status, not monthly.
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:
Infant who weighs 7.8 kg (17.2 lb) admitted yesterday for moderate dehydration
Question 5 of 5
A nurse is caring for an infant who weighs 7.8 kg (17.2 lb) and was admitted yesterday for treatment of moderate dehydration. Which of the following findings indicates to the nurse that the infant's condition is improving?
Correct Answer: D
Rationale:
Correct Answer: D. A level, soft fontanelle indicates improved hydration. A. 70/min is high, suggesting distress. B. >3 sec refill shows poor perfusion. C. Dry membranes indicate ongoing dehydration.