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: The correct answer is C: "My child went to the bathroom two times when the alarm went off last night." This indicates the treatment is effective because the conditioning therapy involves using a bedwetting alarm to wake the child when they start to urinate, teaching them to wake up to use the bathroom. Going to the bathroom when the alarm goes off shows the child is responding to the alarm by waking up and using the bathroom, which is the desired outcome of the therapy.
Other choices are incorrect:
A: Holding urine for 15 minutes may not necessarily indicate treatment effectiveness.
B: Drinking less is not a direct indicator of treatment effectiveness for enuresis.
D: Kegel exercises do not directly relate to the effectiveness of conditioning therapy for enuresis.
Question 2 of 5
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, 'I don't understand why they need to do this procedure.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: The nurse should explain the procedure to both the adolescent and their guardian to ensure they understand the purpose, risks, and benefits. This fosters informed decision-making. It is essential for the guardian to comprehend why the procedure is necessary to provide valid consent. Requesting assistance from the anesthesiologist (
A) may not address the guardian's concerns directly. Witnessing the adolescent's signature (
C) is important but does not address the guardian's lack of understanding. Notifying the provider (
D) is not the immediate action needed to address the guardian's concern.
Extract:
History and Physical: A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10.
Question 3 of 5
Select the 5 interventions the nurse should include.
Correct Answer: B,C,D
Rationale: The correct interventions are B, C, and D. B: Hydroxyurea helps decrease sickle cell crisis frequency. C: Meperidine is used for pain management in sickle cell disease. D: Pneumococcal vaccine helps prevent infections. A is incorrect as oral intake should not be restricted in sickle cell crisis. E, F, and G are not provided in the question.
Extract:
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: The correct answer is D: Facial twitching. Facial twitching may indicate a neurological complication like a stroke in a child with sickle cell anemia, which requires immediate medical attention to prevent further complications. Kyphosis (
A) is a spinal curvature that is common in sickle cell anemia but does not require immediate attention. Constipation (
B) and enuresis (
C) are common issues in children with sickle cell anemia but do not pose immediate risks.
Therefore, they can be addressed by the nurse without the need for urgent reporting to the provider.
Question 5 of 5
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Reposition the client using a turning sheet. When caring for a client with a halo vest, repositioning using a turning sheet helps prevent skin breakdown and pressure ulcers. This action maintains proper alignment of the halo device and reduces the risk of complications. Encouraging flexion and extension of the neck (
Choice
A) is contraindicated as it can disrupt the stability of the halo device and potentially cause harm. Assessing the pin sites for infection once every other day (
Choice
C) is important but not the priority action in this scenario. Tightening the screws on the halo device (
Choice
D) should only be done by healthcare professionals as per specific instructions.