ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
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: D
Rationale: The correct answer is D: Thirst. Hyperglycemia in diabetes causes increased blood glucose levels, leading to osmotic diuresis and dehydration, triggering the sensation of thirst. Sweating (
A), tremors (
B), and pallor (
C) are not typical manifestations of hyperglycemia. Sweating and tremors are more commonly associated with hypoglycemia, while pallor may indicate anemia or other conditions unrelated to hyperglycemia.
Question 2 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Nausea. Morphine, an opioid analgesic, commonly causes gastrointestinal side effects such as nausea. The nurse should monitor for nausea as it can lead to vomiting, dehydration, and poor oral intake. Prolonged wound healing (
A) is not a typical adverse effect of morphine. Stevens-Johnson syndrome (
C) is a severe skin reaction usually caused by medications other than morphine. Renal failure (
D) is not a common adverse effect of morphine; however, it can occur in patients with pre-existing kidney issues or when morphine is used in high doses for a prolonged period.
Question 3 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: The correct answer is A. An 18-month-old toddler with a heart rate of 68/min is bradycardic for their age. Normal heart rate for toddlers is around 80-130/min. Bradycardia can indicate cardiac issues or other underlying conditions that need immediate attention. Reporting this finding to the provider is crucial for further evaluation and intervention.
Choice B is within the normal range for a school-age child's temperature.
Choice C shows a normal blood pressure for an adolescent.
Choice D is a normal respiratory rate for a 3-month-old infant.
Extract:
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 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse to take is to administer ceftriaxone (choice
A). This is the correct answer because ceftriaxone is an antibiotic commonly used to treat bacterial infections, especially in cases of suspected sepsis or meningitis. Administering it promptly can help prevent the spread of infection and improve the patient's condition.
The other choices are incorrect because:
B: Administering a pneumococcal conjugate vaccine is not the immediate priority in this scenario where treatment for an existing infection is needed.
C: Initiation of serum glucose testing every 1 hr is not indicated without further context or rationale provided in the question.
D: Initiating neutropenic precautions is not necessary based on the information provided and is not a direct action to address the immediate issue at hand.
Extract:
Question 5 of 5
A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. The child's parents ask for information on hemodialysis. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Hemodialysis uses an artificial membrane outside the body to clean your child's blood. This is correct because hemodialysis involves the use of a machine that filters the blood through an artificial membrane to remove waste products and excess fluids. This process occurs outside the body and is commonly used for patients with kidney failure.
Choice A is incorrect because hemodialysis does not use the abdominal cavity as a membrane.
Choice B is incorrect because hemodialysis does not involve the use of an electrolyte solution to clean the blood.
Choice D is incorrect because hemodialysis is not a continuous filtration process, but rather a periodic treatment.