ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
History and Physical: 5-year-old male, 18 kg (39.7 lb), Admitted following a motor-vehicle crash Surgical procedure: L leg open reduction and fixation, L arm closed reduction and fixation
Question 1 of 5
A nurse is caring for a child who is 2 hr postoperative. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: While assessing pain level is important, ensuring adequate perfusion and circulation takes precedence. Rechecking the child's temperature may be necessary but is not as immediately critical as assessing pedal pulses. Determining the child's sedation level is important for monitoring postoperative status but is not the priority at this time. Assessing the child's pedal pulses is crucial following a motor-vehicle crash and surgical procedures involving the lower extremities. It helps to evaluate the perfusion and circulation to the extremities, especially after a leg open reduction and fixation surgery.
Extract:
Question 2 of 5
A nurse is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: No head lag when pulled to a sitting position is a normal finding at 4 months of age. They should not have doll's eye reflex intact, which means that their eyes move in the opposite direction of their head when turned. This reflex normally disappears by 3 months of age and its persistence may indicate brain damage. The presence of tears when crying is a normal finding at 4 months of age. They should also have positive Babinski reflex, which means that their toes fan out when their sole is stroked. This reflex normally disappears by 12 months of age.
Question 3 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicate the treatment is effective?
Correct Answer: C
Rationale: Holding urine for extended periods may indicate urinary retention, which is not the desired outcome of treatment for enuresis. Drinking less may not necessarily indicate treatment effectiveness and could lead to dehydration. Waking to urinate in response to the alarm indicates improved bladder control and responsiveness to conditioning therapy for enuresis. Kegel exercises primarily target pelvic floor muscles and may not directly address the underlying causes of enuresis.
Question 4 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: D
Rationale: Kyphosis, or curvature of the spine, is not typically an urgent concern in sickle cell anemia. Constipation can occur but is not typically an urgent complication. Enuresis, or bedwetting, may be a concern but is not typically an urgent complication. Facial twitching could indicate neurological involvement or a stroke, which is a serious complication of sickle cell anemia and requires immediate attention.
Question 5 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: D
Rationale: Mixing the medication with formula may not be appropriate as the infant has vomited, and re-administering the medication immediately may result in overdosing. Giving an antiemetic is not indicated unless ordered by the healthcare provider. It is important to follow specific orders in this situation. Increasing fluid intake may not be advisable immediately after vomiting, especially in the context of heart failure. The infant may require evaluation for fluid status before increasing intake. Administering the next dose as prescribed is the appropriate action unless contraindicated by specific circumstances or healthcare provider orders.