ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
Vital Signs 1405: Temperature 38° C (100.4° F), Heart rate 96/min, Respiratory rate 18/min, Blood pressure 104/72 mm Hg, Oxygen saturation 98% on room air; Laboratory Results 1430: C-reactive protein 3.2 mg/dL (<1.0 mg/dL), Albumin 3.4 g/dL (3.5 to 5.0 g/dL), Hemoglobin 11 g/dL (10 to 15.5 g/dL), Hematocrit 33% (32% to 44%), RBC count 4.0 x 10°/μL (4.0 to 5.5 x 10/μL), WBC count 13,000/mm3 (5,000 to 10,000/mm3), Platelets 275,000/mm3 (150,000 to 400,000/mm3), Potassium 3.5 mEq/L (3.4 to 4.7 mEq/L), Magnesium 1.4 mEq/L (1.4 to 1.7 mEq/L), Total calcium 9.0 mg/dL (8.8 to 10.8 mg/dL); Stool: Positive for occult blood (negative), Positive for leukocytes 4/high-power field (<2/high-power field), Negative for helicobacter pylori (negative)
Question 1 of 5
A nurse is caring for an adolescent in the emergency department (ED). 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: Gluten-free diet, Record intake; Potential Condition: Crohn's disease; Parameter to Monitor: Albumin, Hemoglobin. Crohn's disease is a chronic inflammatory condition affecting the gastrointestinal tract, requiring a gluten-free diet and careful monitoring of nutrient intake to manage symptoms and prevent malnutrition. Monitoring albumin and hemoglobin levels helps assess the client's nutritional status and response to treatment. The other choices are incorrect because they do not align with the characteristic features of Crohn's disease, such as gluten sensitivity and the need for meticulous dietary management. The actions and parameters in the correct answer are specific to Crohn's disease, making it the most appropriate choice for the scenario presented.
Extract:
A nurse is performing a physical assessment for a 13-year-old adolescent.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because having the child bend forward at the waist and checking for asymmetry of the scapula is a specific action related to assessing for scoliosis. This position helps in identifying any irregularities in the alignment of the spine. Option B is incorrect as auscultating the abdomen for bowel sounds is unrelated to the scenario. Option C, using the FACES scale, is more applicable for assessing pain intensity, not for assessing scoliosis. Option D, observing abdominal movement for respiratory rate, is also not relevant to the assessment of scoliosis.
Extract:
Nurses' Notes Day 1, 1020: Child is a direct admit from a pediatric clinic with fever, chills, irritability for 2 days, prior URI 2 weeks ago, no prior conditions, fully immunized. 1030: Child reports nausea, headache (7/10), lethargic, nuchal rigidity, capillary refill 4 seconds.
Question 3 of 5
A pediatrician has evaluated the child and has written new prescriptions. The nurse is preparing to assist with a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,D,E,G
Rationale: Correct answer: A, D, E, G
A: Apply pressure to the puncture site following the procedure - This is important to prevent bleeding and promote clotting.
D: Ensure the guardian has signed the consent form prior to the procedure - This is a legal and ethical requirement to ensure informed consent.
E: Ensure the child voids prior to the procedure - This helps reduce the risk of post-procedure urinary retention.
G: Monitor for paresthesia and tingling in extremities following the procedure - This is important to assess for potential nerve damage or complications.
Incorrect choices:
B: Limit the child's fluid intake following the procedure - There is no need to limit fluid intake post-lumbar puncture.
C: Position the child in a prone position during the procedure - The child should be in a lateral decubitus position for a lumbar puncture.
F: Insert an indwelling urinary catheter during the procedure - There is no indication for inserting a catheter
Extract:
A nurse is providing teaching to the parents of a toddler who is exhibiting negativism during mealtimes.
Question 4 of 5
Which of the following statements by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C because it offers the patient a choice between two options, which promotes autonomy and respects her preferences. Option A doesn't offer a choice and may come off as imposing. Option B assumes the patient's preference without confirming. Option D dictates the choice without involving the patient. By providing a choice between two meal options, option C empowers the patient to make a decision based on her preferences and respects her autonomy.
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 5 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: The correct choices (A,C,
D) require immediate follow-up due to potential signs of serious health issues. A: Capillary refill of 4 seconds indicates poor circulation. C: Lack of tears can be a sign of dehydration. D: Lethargy can indicate a decline in health status. The other choices (B,E,F,G) do not present immediate threats to the toddler's health.