ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
School-age child who weighs 20 kg (44 lb) postoperative with chest tubes
Question 1 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:
Guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, resulting in bleeding. History of allergic rhinitis. Assessment: Child alert, respiratory rate 24/min, no adventitious sounds, heart rate 108/min, generalized reddish scaly patches with lichenifications and depigmentation on bilateral extremities. Medication: Diphenhydramine 10 mg PO 4 times per day, Pimecrolimus 1% cream daily
Question 2 of 5
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: A. Short nails prevent scratching damage. B. Emollients lock in moisture, aiding dermatitis. C. Gloves reduce scratching at night. D. Mild detergent avoids irritation. E. Flare-ups are chronic in atopic dermatitis. F. It's not contagious. G. Thin layer of pimecrolimus is correct.
Extract:
Adolescent with major depressive disorder
Question 3 of 5
A nurse is caring for an adolescent who has major depressive disorder. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale:
Correct Answer: D. Assessing suicide risk is the priority in depression due to safety concerns. A. Medication is secondary. B. Therapy is beneficial but not first. C. ADLs can wait after safety is ensured.
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:
School-age child with diabetes mellitus
Question 5 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.