ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: D
Rationale: A heart rate of 54/min is within the normal range for a 5-year-old child and does not specifically indicate hemorrhage. Flushing of the face is not a direct indicator of hemorrhage. A blood pressure of 95/56 mm Hg may be within the normal range for a 5-year-old child and does not specifically indicate hemorrhage. Continuous swallowing can indicate bleeding in the postoperative period following a tonsillectomy and adenoidectomy, as blood may be pooling in the throat and swallowed rather than expectorated.
Question 2 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: Discarding the first voided specimen is necessary for a 24-hour urine collection to ensure the collection reflects a full 24-hour period. Voiding every hour is not a specific instruction for a 24-hour urine collection and may not be practical or feasible. Cleansing the perineum with a povidone-iodine solution is not necessary unless specifically instructed by the healthcare provider. Saving the final specimen in a separate container is not required.
Question 3 of 5
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Offering sips of water 4 hours following surgery may be too early and could increase the risk of postoperative complications such as nausea and vomiting. Assisting the adolescent to ambulate 12 hours following surgery may be too early depending on the surgical procedure and the adolescent's condition. Maintaining the head of the bed at a 30° angle is incorrect because this position increases pressure on the spinal cord and can cause complications. Logrolling the adolescent every 2 hours prevents spinal injury and promotes healing by keeping the spine in alignment.
Question 4 of 5
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: A normal temperature does not specifically indicate the effectiveness of treatment for acute poststreptococcal glomerulonephritis. Pain with voiding is not typically associated with this condition and therefore does not indicate treatment effectiveness. Clear urine indicates that the kidneys are effectively filtering waste and fluid, suggesting treatment effectiveness. Odorless urine is a normal characteristic and does not specifically indicate treatment effectiveness.
Question 5 of 5
A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Visual acuity should be assessed for each eye separately first, then both eyes together to detect any differences between the eyes. The nurse should position the child 3 meters (10 feet) from the chart. If the child wears glasses, they should be tested with and without their glasses to assess visual acuity accurately. A tumbling E chart, where the child identifies the direction of the E (up, down, left, or right), is commonly used for assessing visual acuity in young children who may not yet know letters.