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 providing teaching to a 14-year-old adolescent who has a new diagnosis of type 1 diabetes mellitus.
Question 2 of 5
Which of the following statements by the adolescent indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will increase my food intake before I exercise." This statement indicates an understanding of the teaching because it shows recognition of the need to fuel the body adequately before physical activity to prevent low blood sugar levels. Increasing food intake before exercise can help maintain stable blood sugar levels during and after physical activity.
Incorrect choices:
A: Incorrect because blood pressure medicine does not affect insulin levels directly.
C: Incorrect because simply taking insulin does not mean one can eat whatever they want without considering their diet.
D: Incorrect because sugar levels do not automatically decrease with age; they may actually increase due to factors like decreased physical activity.
Extract:
A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden unexpected infant death syndrome (SUIDS).
Question 3 of 5
Which of the following statements by the parents indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will dress my baby in lightweight clothing to sleep." This statement reflects an understanding of the teaching because dressing the baby in lightweight clothing helps prevent overheating during sleep, reducing the risk of Sudden Infant Death Syndrome (SIDS). It shows awareness of the importance of regulating the baby's body temperature while sleeping.
Other choices are incorrect:
A: Laying the baby on their side for naps is not recommended as it increases the risk of SIDS.
C: Having the baby sleep next to the parents in bed increases the risk of accidental suffocation or overlaying.
D: Moving the baby's stuffed animal to the corner of the crib is not related to safe sleep practices.
Extract:
A nurse is caring for a school-age child who has heart failure.
Question 4 of 5
Which of the following interventions should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D: Consolidate activities to promote the child's rest. This intervention is appropriate for a child who needs rest to recover from an illness or injury. By consolidating activities, the child can conserve energy and promote healing.
Choice A is incorrect because live virus vaccines are generally safe and effective for healthy children.
Choice B is incorrect as daily weighing may not be necessary and could cause unnecessary stress.
Choice C is incorrect as sleeping in an air-conditioned room may not be essential for the child's recovery.
Extract:
A nurse is planning a staff in-service about infection control measures to prevent the spread of influenza in school-age children.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: "Wear a face mask when working within 3 feet of a child who is infected." This instruction is important in preventing the spread of infectious diseases like influenza. Wearing a face mask helps to reduce the risk of inhaling respiratory droplets containing the virus. It is a crucial infection control measure for healthcare workers to protect themselves and others.
Choice B is incorrect because administering antibacterial medication is not the standard treatment for influenza, which is caused by a virus, not bacteria.
Choice C is incorrect as children are typically considered infectious for around 5-7 days, not 14 days.
Choice D is incorrect as the influenza vaccine is typically administered annually, not every 6 months.