ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 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 2 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: Discarding the first voided specimen is necessary for a 24-hour urine collection to ensure the collection reflects a full 24-hour period. Voiding every hour is not a specific instruction for a 24-hour urine collection and may not be practical or feasible. Cleansing the perineum with a povidone-iodine solution is not necessary unless specifically instructed by the healthcare provider. Saving the final specimen in a separate container is not required.
Question 3 of 5
A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 12.5
Rationale:
To answer this question, we need to perform some calculations. First, we need to convert the child's weight from pounds to kilograms: 55 lb × 0.4536 kg/lb = 24.948 kg. Next, we need to find out how much ibuprofen the child needs in milligrams: 10 mg/kg × 24.948 kg = 249.48 mg. Finally, we need to find out how many milliliters of ibuprofen solution the nurse should administer: (249.48 mg) / (100 mg/5 mL) = 12.474 mL. Rounding to the nearest tenth, the answer is 12.5 mL.
Question 4 of 5
A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: This is the first step to control bleeding and prevent further blood loss. Monitoring the distal pulse is important, but controlling bleeding takes precedence. Vital signs can wait momentarily until the bleeding is under control. Reinforcing the dressing may be necessary, but controlling bleeding is the immediate priority.
Question 5 of 5
A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Visual acuity should be assessed for each eye separately first, then both eyes together to detect any differences between the eyes. The nurse should position the child 3 meters (10 feet) from the chart. If the child wears glasses, they should be tested with and without their glasses to assess visual acuity accurately. A tumbling E chart, where the child identifies the direction of the E (up, down, left, or right), is commonly used for assessing visual acuity in young children who may not yet know letters.