ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
5-year-old child who has nephrotic syndrome who weighs 12 kg (26.5 lb) postoperative following open-heart surgery
Question 1 of 5
A nurse is caring for a 5-year-old child who has nephrotic syndrome who weighs 12 kg (26.5 lb) and is postoperative following open-heart surgery. Which of the following findings suggests that the management has been effective?
Correct Answer: B
Rationale:
Correct Answer: B. 256 mL over 8 hr (~32 mL/hr) exceeds the minimum 1 mL/kg/hr for 12 kg, indicating good hydration in nephrotic syndrome. A. 37.2°C is normal but not specific. C. No pain is good but not a key indicator. D. Odorless urine is normal, not treatment-specific.
Extract:
Newly admitted child with cystic fibrosis
Question 2 of 5
A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Correct Answer: B
Rationale: Physical therapy aids mucus clearance and lung function, a priority in cystic fibrosis. A. Dietitian is important but secondary to respiratory needs initially. C. Speech therapy isn't primary unless swallowing issues exist. D. Occupational therapy isn't a key initial focus.
Extract:
School-age child with diabetes mellitus
Question 3 of 5
A nurse is caring for a school-age child who has diabetes mellitus. Which of the following findings should the nurse recognize as being consistent with hyperglycemia?
Correct Answer: C
Rationale:
Correct Answer: C. Thirst is a classic sign of hyperglycemia due to dehydration from polyuria. A. Tremors are more typical of hypoglycemia. B. Pallor isn’t specific to hyperglycemia. D. Sweating can occur in both hypo- and hyperglycemia.
Extract:
Infant with heart failure who vomited after digoxin
Question 4 of 5
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Vomiting may indicate toxicity; assess and consult before the next dose, but per the options, A is closest to standard care pending review. B. Large dilution risks dosing errors. C. Antiemetic doesn't address cause. D. Fluid increase isn't specific to this issue.
Extract:
School-age child who weighs 20 kg (44 lb) postoperative with chest tubes
Question 5 of 5
A nurse is caring for a school-age child who weighs 20 kg (44 lb) and is postoperative with chest tubes in place. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: 200 mL/hr drainage is excessive, suggesting bleeding, requiring reporting. A. 22/min is normal. C. Serous drainage is expected. D. Fluctuation is normal.