ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 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: The correct answer is D: Decreased platelet count. In disseminated intravascular coagulation (DI
C), there is widespread activation of the coagulation system, leading to the consumption of platelets and clotting factors. This results in a decreased platelet count. Option A, decreased prothrombin time, is incorrect because in DIC, there is actually an increased prothrombin time due to the consumption of clotting factors. Option B, increased Hgb level, is incorrect as DIC does not typically affect hemoglobin levels. Option C, increased RBC count, is incorrect as DIC does not affect red blood cell production.
Question 2 of 5
A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Ataxia. Inhalation of gasoline can cause central nervous system depression, leading to symptoms such as ataxia, which is the loss of full control of bodily movements. Pinpoint pupils (choice
A) are more indicative of opioid overdose. Hyperactive reflexes (choice
C) are not typically associated with gasoline inhalation. Hypothermia (choice
D) is more commonly seen with exposure to cold environments or in cases of severe shock. Ataxia is the most likely neurological manifestation of gasoline inhalation due to its effects on the central nervous system.
Question 3 of 5
A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will ensure that my child consumes a high-calorie diet." This statement indicates an understanding of the teaching because children with cystic fibrosis often have difficulty maintaining weight due to malabsorption. A high-calorie diet helps to meet their increased energy needs.
Choice B is incorrect because sweat chloride testing is usually done more frequently than annually for monitoring cystic fibrosis.
Choice C is incorrect because pancrelipase medication should be taken with meals, not chewed before eating.
Choice D is incorrect because dornase alfa is not used for wheezing but for improving lung function in cystic fibrosis.
Question 4 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: The correct answer is D: Decreased platelet count. In disseminated intravascular coagulation (DI
C), there is widespread activation of the coagulation system, leading to the consumption of platelets and clotting factors. This results in a decreased platelet count. Option A, decreased prothrombin time, is incorrect because in DIC, there is actually an increased prothrombin time due to the consumption of clotting factors. Option B, increased Hgb level, is incorrect as DIC does not typically affect hemoglobin levels. Option C, increased RBC count, is incorrect as DIC does not affect red blood cell production.
Question 5 of 5
A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take?
Correct Answer: A
Rationale: The correct answer is A: Obtain written consent from the client. This is appropriate because the adolescent has the right to make their own healthcare decisions regarding STI testing. Written consent ensures the client understands the procedure and gives informed permission. Verbal consent (choice
B) may not be sufficient for such a sensitive test. Contacting the client's parents (choice
C) may violate the adolescent's confidentiality and autonomy. Postponing the testing (choice
D) could lead to potential harm if the adolescent needs immediate medical attention.