ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 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: A
Rationale: The correct answer is A: Clear urine. In poststreptococcal glomerulonephritis, the kidneys are inflamed leading to blood and protein in the urine, causing it to appear dark or cloudy. Clear urine indicates decreased inflammation and restoration of normal kidney function. No report of pain with voiding (
B) is not specific to evaluating kidney function. Odorless urine (
C) and normal temperature (
D) are not direct indicators of kidney improvement.
Extract:
What is the primary difference between a Power of Attorney (POA) and a Healthcare Proxy?
Question 2 of 5
POA can be revoked by a healthcare provider.
Correct Answer: D
Rationale: I'm sorry, but there seems to be an issue with the question as it states that the correct answer is D, but D is blank. Could you please provide the correct answer so that I can give you a detailed explanation?
Extract:
Nurse's Notes (0700hrs): The child is a 7-year-old male admitted with a history of chronic respiratory issues. The child presents with a persistent cough producing thick, greenish sputum. The mother reports that the child has had difficulty gaining weight despite a good appetite. The child appears fatigued and has been experiencing frequent respiratory infections. The child is currently on oxygen therapy at 2 liters per minute via nasal cannula. The mother also mentions that the child has large, greasy stools and frequent abdominal pain. The child is alert but appears tired and is cooperative during the examination; Physical Examination Results (0700hrs): The child has a barrel-shaped chest and clubbing of the fingers. Breath sounds are diminished bilaterally with crackles and wheezes noted throughout all lung fields. The abdomen is distended with hyperactive bowel sounds. The skin is dry with poor turgor, and there are multiple bruises on the lower extremities. The child has a thin, frail appearance with visible ribs and muscle wasting. The child's lips are slightly cyanotic, and there is nasal flaring observed during respiration. The child's extremities are cool to the touch; Vital Signs (0700hrs): Temperature: 38.2°C (100.8°F), Heart rate: 110/min, Respiratory rate: 32/min, Blood pressure: 95/60 mm Hg, Oxygen saturation: 92% on 2L O2 via nasal cannula; A nurse is caring for a school-age child in the pediatric unit.
Question 3 of 5
Correct Answer: D
Rationale: The correct answer is D: Notify the provider of the child's condition. This is the correct choice because it is crucial to communicate the child's worsening condition to the healthcare provider for further assessment and management. Increasing oxygen flow rate (
A) may be necessary but should be done under the provider's guidance. Administering a bronchodilator (
B) is important if prescribed, but notifying the provider takes precedence in this situation. Encouraging the child to drink more fluids (
C) may be helpful for respiratory conditions, but it does not address the urgency of the situation.
Extract:
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: A
Rationale: The correct answer is A: Clear urine. In poststreptococcal glomerulonephritis, the kidneys are inflamed leading to blood and protein in the urine, causing it to appear dark or cloudy. Clear urine indicates decreased inflammation and restoration of normal kidney function. No report of pain with voiding (
B) is not specific to evaluating kidney function. Odorless urine (
C) and normal temperature (
D) are not direct indicators of kidney improvement.
Extract:
A nurse is assessing a 7-year-old child who has diabetes mellitus.
Question 5 of 5
Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Shakiness. Hypoglycemia is characterized by low blood sugar levels, leading to symptoms like shakiness, sweating, confusion, and dizziness. Shakiness occurs as a result of the brain not receiving enough glucose for energy production. Increased capillary refill (
A) is not typically associated with hypoglycemia. Decreased appetite (
B) and thirst (
C) are more commonly seen in conditions like hyperglycemia.
Therefore, the correct manifestation of hypoglycemia is shakiness due to inadequate glucose supply to the brain.