ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Group of clients on a pediatric unit
Question 1 of 5
A nurse is caring for a group of clients on a pediatric unit. Which of the following clients is most at risk for insufficient vascular perfusion?
Correct Answer: B
Rationale: A spica cast restricts movement, risking circulation impairment. A. IV fluids don't typically affect perfusion. C. UTI affects urinary, not vascular, system. D. Otitis media is unrelated.
Extract:
Nurses notes 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter.
Question 2 of 5
The child is at risk for developing ___ and ___.
Correct Answer: A,B
Rationale:
Correct Answer: Dropdown Group 1: pyelonephritis, Dropdown Group 2: renal scarring. Given the clinical presentation and the context, the most appropriate words to fill in the blanks are 'pyelonephritis' and 'renal scarring.'
Rationale: 1. Pyelonephritis: The child presents with a fever and lethargy, which are common signs of a urinary tract infection (UTI). The use of a sterile straight catheter to obtain a urine sample suggests that the healthcare provider is investigating a potential UTI, which in children can progress to pyelonephritis if not promptly treated. 2. Renal scarring: If pyelonephritis occurs, it can lead to renal scarring, especially in young children. Early diagnosis and treatment of UTIs are crucial to prevent renal scarring.
Extract:
School-age child who weighs 20 kg (44 lb) postoperative with chest tubes
Question 3 of 5
A nurse is caring for a school-age child who weighs 20 kg (44 lb) and is postoperative with chest tubes in place. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: 200 mL/hr drainage is excessive, suggesting bleeding, requiring reporting. A. 22/min is normal. C. Serous drainage is expected. D. Fluctuation is normal.
Extract:
Adolescent experiencing a vaso-occlusive crisis with painful joints, fever, and abdominal pain
Question 4 of 5
A nurse is developing a plan of care for an adolescent who is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale:
Correct Answer: C. IV fluids reduce blood viscosity and sickling in vaso-occlusive crisis. A. Antispasmodics aren’t indicated. B. Ice worsens vasoconstriction. D. Hyperkalemia isn’t a primary concern.
Extract:
Diagnostic Results Cerebrospinal fluid Pressure: 22 cm H2O (less than 20 cm H2O) Color: Cloudy (clear or colorless) Blood: None (none) Cells RBC: 0 (0) WBC: 36 cells/mcL (0 to 30 cells/mcL) Protein: 92 mg/dL (up to 70 mg/dL) Glucose: 36 mg/dL (50 to 75 mg/dL) Serum glucose: 64 mg/dL (60 to 100 mg/dL)
Question 5 of 5
A nurse in an emergency department is caring for a 3-month-old infant. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A. CSF results suggest bacterial meningitis (elevated pressure, cloudy, high WBC, high protein, low glucose), requiring immediate antibiotics like ceftriaxone. B. Low CSF glucose relates to infection, not requiring hourly testing. C. Vaccination is preventive, not treatment. D. Neutropenic precautions are for low neutrophils, not indicated here.