ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Facial twitching. This finding is concerning as it may indicate a neurological complication, such as a stroke, which can be life-threatening in sickle cell anemia. The nurse should report this immediately for further evaluation and intervention. Kyphosis (
B), constipation (
C), and enuresis (
D) are common issues in sickle cell anemia but are not immediate priorities compared to potential neurological complications.
Extract:
A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers.
Question 2 of 5
Which of the following safety measures should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Keep electrical wires hidden from view. This safety measure is important as exposed wires can pose a risk of electrocution or fire. By keeping them hidden, the risk of accidents is reduced.
Choice B is incorrect as outdoor activities during peak sun hours can increase the risk of sunburn and heat exhaustion.
Choice C is incorrect because setting the water heater to 60°C can lead to scalding injuries.
Choice D is incorrect as turning pot handles toward the front of the stove can increase the risk of accidental spills and burns.
Extract:
Nurses' Notes: 0700: 7 year old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor. Vital Signs: 0715: Temperature 38 C (100.4 F), Heart rate 80/min, Respiratory rate 22/min, Blood pressure 106/65 mm Hg. 0930: Temperature 38.4 C (101.1 F), Heart rate 90/min, Respiratory rate 23/min, Blood pressure 105/65 mm Hg. Provider Prescription: Sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO, Salicylic acid 20 mg/kg/dose every 4 hr as needed for pain and fever.
Question 3 of 5
For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Intervention | Anticipated |
|---|---|
| Administer Sulfamethoxazole and trimethoprim | |
| Advise child's guardian about the use of sunscreen | |
| Administer salicylic acid for pain and fever | |
| Ensure the child receives a maximum of 1,200 mL/day of fluid | |
| Educate the child about proper perineal hygiene |
Correct Answer: A,B,E
Rationale: A: Sulfamethoxazole and trimethoprim treat the UTI. B: Sunscreen is advised due to photosensitivity from the antibiotic. E: Perineal hygiene prevents recurrent UTIs. Contraindicated: C: Salicylic acid risks Reye's syndrome. D: Fluid restriction is inappropriate; increased fluids help flush bacteria.
Extract:
Question 4 of 5
A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Infuse each unit of blood within 4 hours. This is important because packed RBCs must be infused within a specific timeframe to prevent bacterial growth and maintain the integrity of the blood product. Infusing the blood within 4 hours helps reduce the risk of bacterial contamination and ensures the effectiveness of the transfusion.
Explanation for other choices:
A: Infusing dextrose 5% in water during the infusion of packed RBCs is not necessary and may lead to fluid overload in the child.
B: Administering RBCs using non-filtered IV tubing can increase the risk of air embolism and contamination, so it is not the correct intervention.
D: Storing the second unit of blood at room temperature for up to 2 hours is incorrect as blood products should be stored under specific temperature conditions to maintain their quality and safety.
Question 5 of 5
A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,B,E
Rationale: A: Monitoring oxygen saturation assesses respiratory status due to potential airway obstruction. B: Droplet precautions prevent transmission of Haemophilus influenzae type B. E: IV access is needed for fluids and medications in emergency interventions.