ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
5-year-old child with acute poststreptococcal glomerulonephritis
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: C
Rationale: The correct answer is C: Clear urine. In acute poststreptococcal glomerulonephritis, the kidneys are inflamed and may exhibit hematuria, proteinuria, and decreased urine output, leading to dark, cloudy urine.
Therefore, clear urine indicates improved kidney function and resolution of inflammation.
Choice A (Odorless urine) is not specific to kidney function.
Choice B (Temperature 37.2°
C) is within normal range and not directly related to kidney function.
Choice D (No report of pain with voiding) is more related to urinary tract infection, not glomerulonephritis.
Extract:
2-year-old child
Question 2 of 5
A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Frequent negative responses.
Toddlers often exhibit frequent negative responses as they are exploring boundaries and asserting independence. This behavior is a common part of toddler development as they learn to express their emotions and preferences. Increased dependency (
A) is not typically seen in toddlers, as they are striving for autonomy. Less emotionally labile (
B) suggests stability in emotions, which is not characteristic of toddler behavior.
Toddlers thrive on routines, so they are not usually resistant to routines (
C).
Extract:
1-week-old newborn with hyperbilirubinemia treated with phototherapy
Question 3 of 5
A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Monitor the newborn's temperature every 2 hr. This is important because phototherapy can cause the newborn to lose body heat, leading to hypothermia. Monitoring the temperature every 2 hours allows the nurse to promptly detect any changes and intervene as needed to maintain a stable body temperature. Placing mittens on the newborn's hands (choice
B) is unnecessary and may hinder the effectiveness of phototherapy. Applying lotion to the newborn's skin (choice
C) is not recommended as it can interfere with the effectiveness of the phototherapy. Checking the newborn's eyes every 8 hours (choice
D) is not directly related to the management of hyperbilirubinemia and phototherapy.
Extract:
5-year-old child following a tonsillectomy and adenoidectomy
Question 4 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: C
Rationale: The correct answer is C: Continuous swallowing. Following a tonsillectomy and adenoidectomy, continuous swallowing can indicate hemorrhage as the child may be experiencing blood trickling down the throat. This sign is crucial to identify early to prevent further complications.
A: Heart rate of 54/min is below normal but not necessarily indicative of hemorrhage.
B: Flushing of the face is not a specific sign of hemorrhage.
D: Blood pressure of 95/56 mm Hg is within normal range for a 5-year-old child and not a direct sign of hemorrhage.
Extract:
Toddlers
Question 5 of 5
A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Keep electrical wires hidden from view. This is important to prevent toddlers from tampering with electrical devices, reducing the risk of burns from electrical sources. Hidden wires eliminate the temptation for children to play with them, avoiding potential electrocution or burns.
Other choices are incorrect because:
A: Setting the water heater to 60°C (140°F) can scald a child if the temperature is too high.
C: Turning pot handles towards the front of the stove can still be within a child's reach, leading to accidental spills and burns.
D: Encouraging outdoor activities between specific hours does not directly relate to preventing burn injuries.