ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
Nurses' Notes 1200: Caregiver reports toddler has had diarrhea and decreased appetite for 3 days. Toddler alert, uncooperative but can be consoled by caregiver. Weight 12.7 kg (28 lb). Oral mucosa pink, slightly moist. Heart rate regular without murmur. Respirations unlabored with clear breath sounds. Abdomen soft, no masses, hyperactive bowel sounds. Liquid stool in diaper. Diaper area reddened. Capillary refill 2 seconds. IV started and infusing at 45 mL/hr. 1400: Caregiver reports toddler cried themselves to sleep. Reports no tears. 1600: Toddler continues to sleep. IV site intact and patent. Awakens briefly with vital signs, vomits x1, and is lethargic. Capillary refill 4 seconds. Extremities cool; Vital Signs 1200: Temperature 37.1° C (98.8° F), Heart rate 108/min, Respiratory rate 28/min; 1600: Temperature 37.1° C (98.8° F), Heart rate 112/min, Respiratory rate 26/min, Blood pressure 100/60 mm Hg; I&O 1600: IV intake 180 mL, Oral intake none (refuses), Urine output unable to determine - 3 liquid stools in diapers, Stool output 100 mL
Question 1 of 5
A nurse is caring for a toddler admitted to the hospital. Click to highlight the findings that require immediate follow-up.
Correct Answer: A,C,D
Rationale: Capillary refill 4 seconds, cool extremities, no tears, and lethargy indicate worsening dehydration and poor perfusion, requiring urgent intervention.
Extract:
A nurse is caring for a toddler who received radiation therapy 2 years ago for a brain tumor.
Question 2 of 5
Which of the following should the nurse identify as a late adverse effect of the radiation therapy?
Correct Answer: D
Rationale: Short stature is a late effect due to pituitary damage affecting growth hormone. Acute effects like mucosal ulceration, nausea, and desquamation occur shortly after radiation.
Extract:
History and Physical: 16 year-old female presents with abdominal and pelvic pain lasting 2 days. Past medical history includes right arm fracture at age 7. Reproductive history includes sexual activity with 4 partners over the last 2 months. Oral contraceptives used for the past 12 months. Last menstrual period 7 days ago. Current on all vaccinations; human papillomavirus vaccine deferred. Vaginal examination: Noted cervical mucopurulent discharge; Vital Signs: Temperature 38° C (100.4° F), Heart rate 96/min, Respiratory rate 16/min, Blood pressure 104/68 mm Hg, Oxygen saturation 98% on room air
Question 3 of 5
A nurse is caring for an adolescent. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: D
Rationale: Pelvic Inflammatory Disease (PI
D) fits symptoms (pain, discharge, fever). Bedrest in semi-Fowler's aids drainage, acetaminophen manages pain. Monitoring temperature and rebound tenderness assesses infection progression.
Extract:
A nurse is providing teaching about participating in sports to a 12-year-old child who has hemophilia.
Question 4 of 5
Which of the following sports should the nurse recommend?
Correct Answer: D
Rationale: Bowling is low-impact, minimizing bleeding risk in hemophilia.
Extract:
A nurse in a clinic is assessing an infant who has diarrhea, is lethargic, and has dry skin.
Question 5 of 5
Which of the following findings indicates moderate dehydration?
Correct Answer: D
Rationale: Capillary refill of 3 seconds is a sign of moderate dehydration.