ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a school-age child who is having a tonic-clonic seizure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Time the episode. Timing the seizure is crucial for determining the duration, which helps in guiding treatment decisions and assessing potential complications. Administering chlorothiazide (
A) is not indicated during a seizure. Holding the child down (
B) can be harmful and may lead to injury. Placing the child in a prone position (
C) can obstruct breathing. Monitoring the duration of the seizure (
D) is essential for proper management.
Question 2 of 5
A nurse is teaching the parents of a child who has cystic fibrosis about home care following discharge. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Your child should take pancreatic enzymes with meals and snacks. This is because cystic fibrosis affects the pancreas, leading to difficulty digesting food. Pancreatic enzymes help the body break down and absorb nutrients properly.
A is incorrect as chest x-rays are not routinely done for monitoring cystic fibrosis.
B is incorrect as tonsil and adenoid removal is not directly related to cystic fibrosis.
D is incorrect as isoniazid is used to treat tuberculosis, not cystic fibrosis.
In summary, the correct answer emphasizes the importance of pancreatic enzyme replacement therapy in managing cystic fibrosis, while the other choices are unrelated or incorrect in the context of cystic fibrosis management.
Question 3 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.
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 4 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: The correct answer is A (Nephrotic syndrome) and D (Acute glomerulonephritis) because both conditions are common kidney disorders in children. Nephrotic syndrome is characterized by proteinuria, hypoalbuminemia, edema, and hyperlipidemia, putting the child at risk for fluid imbalances and infections. Acute glomerulonephritis is an inflammation of the glomeruli causing hematuria, proteinuria, and hypertension, leading to potential renal damage and long-term complications.
Choices B, C, and E are not directly related to the child's risk in the given sentence.
Extract:
Question 5 of 5
A nurse is providing teaching about injury prevention to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Check clothing for loose buttons. This is important because loose buttons can pose a choking hazard to toddlers. By checking and securing clothing items, parents can prevent accidental ingestion.
Choice B is incorrect as the recommended water heater temperature for safety is 49°C (120°F), not 54°C.
Choice C is relevant for preventing falls but not directly related to injury prevention from choking hazards.
Choice D is incorrect because balloons are a choking hazard for young children.