ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a 6-month-old infant who has gastroenteritis. Which of the following findings should the nurse identify as a manifestation of severe dehydration?
Correct Answer: B
Rationale: B. A sunken anterior fontanel is a significant sign of dehydration in infants and suggests severe dehydration. A. Capillary refill of 3 seconds is borderline normal. C. 5% weight loss is moderate dehydration. D. Tears indicate adequate hydration.
Question 2 of 5
A nurse is caring for a child who has disseminated intravascular coagulation. Which of the following laboratory findings should the nurse expect?
Correct Answer: D
Rationale: DIC is characterized by widespread activation of coagulation, leading to consumption of platelets and decreased platelet count, which can result in bleeding tendencies. A. Decreased prothrombin time is incorrect as DIC typically causes prolonged clotting times. B. Increased Hgb level is incorrect as DIC may lead to anemia due to blood loss. C. Increased RBC is incorrect as DIC can cause anemia.
Question 3 of 5
A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A toddler who has a heart rate of 68/min is likely to have bradycardia, a slow heart rate that can affect oxygen delivery. Bradycardia could be caused by hypoxia, hypothermia, or cardiac problems. The nurse should report this finding to the provider immediately. B. This temperature is within the normal range. C. This blood pressure is within the normal range for an adolescent. D. The normal respiratory rate for a 3-month-old infant is 25 to 40/min.
Question 4 of 5
A nurse is preparing to administer an oral medication to a preschooler. Which of the following actions should the nurse take to encourage acceptance of the medication?
Correct Answer: A
Rationale: A. Providing an ice pop after administering the medication is a positive reinforcement strategy that can motivate the child to take the medication and reduce the unpleasant taste. B. Milk may interact with some medications. C. Mixing with food can alter taste perception negatively. D. Diluting with water may affect medication stability.
Question 5 of 5
A nurse is caring for a 5-year-old child who has nephrotic syndrome. Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: C. Increased urine output indicates improved renal function, a primary goal of treatment for nephrotic syndrome. A. Odorless urine is not specific. B. Lack of pain with voiding is not a direct indicator. D. Normal temperature is not related to treatment success.