ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
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 1 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: Action to Take: Bedrest in semi-Fowler's, Acetaminophen; Potential Condition: Pelvic Inflammatory Disease; Parameter to Monitor: Temperature >38.3°C, Rebound tenderness. The correct answer is D because Pelvic Inflammatory Disease is common in adolescents and requires rest and pain management with Acetaminophen. Monitoring temperature and rebound tenderness are key indicators of the effectiveness of treatment.
Choices A and B are incorrect as they suggest actions and parameters not typically associated with Pelvic Inflammatory Disease.
Choice C is incorrect as it suggests a different condition and unrelated parameters.
Extract:
A nurse is teaching the guardians of a school-age child who has cystic fibrosis about dietary needs.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Offer your child foods that are high in fat." This is because children require essential fatty acids for brain development and overall growth. Fat is a concentrated source of energy and aids in the absorption of fat-soluble vitamins. It is important for healthy cell function and hormone production.
Choices A, C, and D are incorrect because low-calorie, high vitamin C, and low-protein foods may not provide adequate nutrition for a growing child. Offering foods high in fat, but choosing healthy fats like avocados, nuts, and seeds, can support a child's overall health and development.
Extract:
A nurse is providing teaching to a parent about sudden unexpected infant death (SUID).
Question 3 of 5
Which of the following statements should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Share a bedroom with your infant for the first 6 months. This recommendation follows safe sleep guidelines to reduce the risk of Sudden Infant Death Syndrome (SIDS). Having the infant nearby allows for easier monitoring and feeding during the night. It also promotes bonding and facilitates responsive caregiving.
Choice B is incorrect as soft crib mattresses increase the risk of suffocation.
Choice C is incorrect as nonflammable blankets are not a specific recommendation for safe sleep.
Choice D is incorrect as bumper pads pose a suffocation and entrapment hazard for infants.
Extract:
A nurse in a clinic is assessing an infant who has diarrhea, is lethargic, and has dry skin.
Question 4 of 5
Which of the following findings indicates moderate dehydration?
Correct Answer: D
Rationale: The correct answer is D: Capillary refill 3 seconds. In moderate dehydration, decreased circulating blood volume leads to delayed capillary refill time. This occurs because of reduced blood flow to the peripheries. A capillary refill time of 3 seconds indicates moderate dehydration.
Choice A (Decreased respiratory rate) is incorrect as it is more commonly associated with severe dehydration.
Choice B (Bulging anterior fontanel) is a sign of increased intracranial pressure, which is seen in severe dehydration.
Choice C (Mottled skin) is typically seen in shock or severe dehydration, not moderate dehydration.
In summary, the other choices are incorrect because they represent more severe signs of dehydration compared to the delayed capillary refill time of 3 seconds, which is indicative of moderate dehydration.
Extract:
A nurse is caring for a school-age child following a femoral venous cardiac catheterization.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Keep the affected extremity straight for 4 hr. This action helps prevent bleeding or hematoma formation at the catheterization site by maintaining pressure on the vessel.
Choice A is incorrect because sterile dressing changes are typically done immediately after the procedure, not 8 hours later.
Choice C is important but not the immediate priority after catheterization.
Choice D is unnecessary as patients can resume normal diet post-procedure.