ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
Vital Signs 0900: Temperature 37° C (98.6° F), Heart rate 90/min, Respiratory rate 22/min, Blood pressure 110/70 mm Hg, Oxygen saturation 96% on room air; 1000: Temperature 37.3°C (99.7° F), Heart rate 98/min, Respiratory rate 25/min, Blood pressure 120/74 mm Hg, Oxygen saturation 96% on room air; Laboratory Results 1000: WBC count 9,500/mm3 (5,000 to 10,000/mm3), Hgb 9 g/dL (10 to 15.5 g/dL), Hct 18% (32% to 44%), Platelets 450,000/mm3 (150,000 to 400,000/mm3); Nurses' Notes 0900: Child admitted to unit in vaso-occlusive crisis. Child reports pain in the right knee as 7 on a scale of 0 to 10. Right knee is swollen and warm to the touch. Pulses are +2 and capillary refill 2 seconds in all extremities. 1000: Notified provider regarding laboratory results. Child reports pain in the right knee is now 10 on a scale of 0 to 10.
Question 1 of 5
A nurse is caring for a 12-year-old client who has sickle cell disease. Complete the following sentence by using the lists of options: The nurse should anticipate a provider prescription for ___ due to the child's ___.
Correct Answer: A
Rationale: The correct answer is A: IV hydromorphone due to pain. In sickle cell disease, vaso-occlusive pain crises are common due to the blockage of blood flow by sickled red blood cells. IV hydromorphone is a potent opioid analgesic used to manage severe pain in such crises. IV fluids (option
B) may be necessary to prevent dehydration, but it is not the primary intervention for pain management in sickle cell disease. Acetaminophen (option
C) is used for fever, which is not the main concern in this case. Oxygen (option
D) may be needed in cases of acute chest syndrome but is not the first-line treatment for pain in sickle cell crisis.
Extract:
A nurse is teaching a parent of a toddler how to prepare for the arrival of their newborn sibling.
Question 2 of 5
Which of the following statements by the parent indicates to the nurse an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates the parent's understanding of potential behavior changes in the toddler after the sibling's birth, such as seeking comfort from a pacifier. This statement shows awareness and preparedness for the toddler's emotional needs.
Choice A is incorrect as it doesn't address the toddler's emotional adjustment.
Choice C might create anxiety for the toddler as they may not fully comprehend the concept of time.
Choice D assumes the toddler's perception of the baby as a playmate, overlooking potential jealousy or insecurity issues.
Extract:
A nurse is preparing to insert a peripheral intravenous (IV) catheter for a preschooler.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Apply vapocoolant spray before the IV insertion. This helps numb the area, reducing pain during catheter placement. Asking the child to hold their breath (
A) is unnecessary and may cause anxiety. Explaining the procedure (
B) is important but does not directly impact pain management. Placing the IV in the dominant arm (
D) is not recommended as it may restrict movement post-insertion.
Extract:
A nurse is assessing the coping skills of the guardian of a child who has a terminal cancer.
Question 4 of 5
Which of the following statements by the guardian demonstrates positive adjustment?
Correct Answer: B
Rationale: The correct answer is B because the guardian is actively seeking information on a new treatment option, showing proactive behavior and a willingness to explore different options for the child's well-being. This demonstrates positive adjustment by taking steps to improve the child's health.
Incorrect choices:
A: This statement reflects guilt and self-blame, indicating negative adjustment.
C: Keeping the child's diagnosis from the family may hinder support and communication, indicating maladaptive behavior.
D: Expressing uncertainty about caring for a dying child suggests a lack of preparedness and coping skills, indicating negative adjustment.
Extract:
Provider Prescriptions: Pancrelipase 8,000 units PO with each meal and snack, Chest physiotherapy three times daily; Diagnostic Results: HbA1c 8.5% (4% to 5.9%), Hgb 13.5 mg/dL (10 to 15.5 g/dL), Hct 39% (32% to 44%), WBC count 9,600/mm3 (5,000 to 10,000/mm3)
Question 5 of 5
A nurse is reviewing the medical record of a school-age child who has cystic fibrosis. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: HbA1c. In cystic fibrosis, monitoring blood glucose levels is crucial due to the potential for developing cystic fibrosis-related diabetes. HbA1c reflects average blood sugar levels over 2-3 months, providing insight into long-term glucose control. Reporting abnormal HbA1c levels can help the provider adjust treatment plans to prevent complications.
Choice A (heart rate) is not directly related to cystic fibrosis.
Choice C (WBC count) is more indicative of infection, which is not the primary concern in cystic fibrosis.
Choice D (oxygen saturation) is important but usually monitored continuously in patients with cystic fibrosis and does not require immediate reporting unless significantly low.