ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A toddler who has a heart rate of 68/min is likely to have bradycardia, a slow heart rate that can affect oxygen delivery. Bradycardia could be caused by hypoxia, hypothermia, or cardiac problems. The nurse should report this finding to the provider immediately. B. This temperature is within the normal range. C. This blood pressure is within the normal range for an adolescent. D. The normal respiratory rate for a 3-month-old infant is 25 to 40/min.
Question 2 of 5
A nurse is providing teaching to a 15-year-old adolescent about a medication used to treat a sexually transmitted infection. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: D. Asking how the client prefers to learn new information demonstrates respect for the adolescent's autonomy and preferences, facilitating effective communication and understanding. A, B, C. These do not prioritize the adolescent's involvement or preferences.
Extract:
A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 lb) and is postoperative following open heart surgery.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: B. This is a concerning finding indicating possible inadequate renal perfusion, especially considering the postoperative status of the toddler. A. Chest tube drainage of 22 mL/hour is expected. C. Skin temperature of 36°C is slightly low but not critical. D. Pulses of 2+ are adequate.
Extract:
Question 4 of 5
A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect? Select all that apply.
Correct Answer: A,D,E
Rationale: A. Cyanosis can occur in children with heart failure due to inadequate oxygenation of tissues. B. Weight gain or fluid retention is more common in children with heart failure. C. Bounding pulses are more commonly associated with conditions such as hypertension or hyperthyroidism, rather than heart failure. D. Dyspnea, or difficulty breathing, is a common symptom of heart failure due to fluid buildup in the lungs. E. Tachycardia, or a rapid heart rate, can occur as a compensatory mechanism in response to decreased cardiac output in heart failure.
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. Vital Signs 0930: Temperature 38.4° C (101.1° F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).
Question 5 of 5
Select words from the choices below to fill in each blank in the following sentence. The child is at risk for developing _______ and ______.
Correct Answer: A,D
Rationale: E. Pyelonephritis is a bacterial infection of the kidneys commonly associated with fever and lethargy, especially in young children. B. Renal scarring can occur as a complication of untreated or recurrent urinary tract infections (UTIs), particularly pyelonephritis.