ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
School-age child with diabetes mellitus
Question 1 of 5
A nurse is caring for a school-age child who has diabetes mellitus. Which of the following findings should the nurse recognize as being consistent with hyperglycemia?
Correct Answer: C
Rationale:
Correct Answer: C. Thirst is a classic sign of hyperglycemia due to dehydration from polyuria. A. Tremors are more typical of hypoglycemia. B. Pallor isn’t specific to hyperglycemia. D. Sweating can occur in both hypo- and hyperglycemia.
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 2 of 5
Select the 5 interventions the nurse should include.
Correct Answer: A,B,E,H
Rationale:
Correct Answer: A,B,E,H. A. Folic acid is important for patients with sickle cell disease because it helps produce new red blood cells. B. Continuous monitoring of oxygen saturation is crucial because hypoxia can exacerbate sickling of red blood cells. E. Patients with sickle cell disease are at increased risk for infections, including pneumococcal infections, due to functional asplenia. H. Hydroxyurea increases fetal hemoglobin production, reducing the frequency of vaso-occlusive crises. Interventions to avoid: C. Cold can cause vasoconstriction, worsening pain. D. Hydration is crucial; restricting intake could worsen the crisis. F. Strict bed rest increases the risk of complications like thrombosis. G. Meperidine is not recommended due to side effects like respiratory depression.
Extract:
Newly admitted child with cystic fibrosis
Question 3 of 5
A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Correct Answer: B
Rationale: Physical therapy aids mucus clearance and lung function, a priority in cystic fibrosis. A. Dietitian is important but secondary to respiratory needs initially. C. Speech therapy isn't primary unless swallowing issues exist. D. Occupational therapy isn't a key initial focus.
Extract:
School-age child with juvenile idiopathic arthritis
Question 4 of 5
A nurse is providing teaching to the guardian of a school-age child who has juvenile idiopathic arthritis. Which of the following responses by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A. Physical activity maintains joint function in JIA. B. Warm packs are preferred over cold. C. NSAIDs should be taken with food to avoid GI upset. D. Independence should be encouraged.
Extract:
Adolescent experiencing a vaso-occlusive crisis with painful joints, fever, and abdominal pain
Question 5 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.