ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus. Which of the following recommendations should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Consult with a nutritionist. This is important for a newly diagnosed adolescent with type 1 diabetes mellitus to learn about proper dietary management. A nutritionist can help create a meal plan that considers the adolescent's specific needs, ensuring they understand how food affects blood sugar levels. Option A is incorrect because opened vials of insulin should be stored according to the manufacturer's instructions. Option B is not directly related to managing diabetes. Option D is important but does not address the initial education needed for dietary management.
Question 2 of 5
A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Exhibits head lag when pulled to a sitting position. This finding is concerning because by 5 months, infants should have minimal head lag when pulled to a sitting position, indicating poor head control, which could be a sign of developmental delay or neurological issue. A: Unable to roll from back to abdomen is a milestone achieved around 5-6 months and not a cause for concern at this age. C: Unable to hold a bottle is typically seen around 6-7 months and is not a critical concern at 5 months. D: Absent grasp reflex is normal at this age as the grasp reflex typically disappears by 3-4 months.
Question 3 of 5
A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Ataxia. Inhalation of gasoline can cause central nervous system depression, leading to symptoms such as ataxia, which is the loss of full control of bodily movements. Pinpoint pupils (choice
A) are more indicative of opioid overdose. Hyperactive reflexes (choice
C) are not typically associated with gasoline inhalation. Hypothermia (choice
D) is more commonly seen with exposure to cold environments or in cases of severe shock. Ataxia is the most likely neurological manifestation of gasoline inhalation due to its effects on the central nervous system.
Question 4 of 5
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax. Which of the following oils should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Lavender. Lavender oil is well-known for its calming and relaxing properties, making it ideal for helping children relax. It has been shown to reduce anxiety and improve sleep quality. Lavender oil is gentle and safe for children when used properly. Eucalyptus (
B) and Tea tree (
D) oils are not recommended for children due to potential toxicity. Jasmine (
C) is not typically used for relaxation purposes in children.
Extract:
Cerebrospinal fluid: Pressure: 22 cm H2O (less than 20 cm H2O), Color: Cloudy (clear or colorless), Blood: None (none), Cells RBC: 0 (0), WBC: 36 cells/mcL (0 to 30 cells/mcL), Protein: 92 mg/dL (up to 70 mg/dL), Glucose: 36 mg/dL (50 to 75 mg/dL), Serum glucose: 64 mg/dL (60 to 100 mg/dL).
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse to take is to administer ceftriaxone (choice
A). This is the correct answer because ceftriaxone is an antibiotic commonly used to treat bacterial infections, especially in cases of suspected sepsis or meningitis. Administering it promptly can help prevent the spread of infection and improve the patient's condition.
The other choices are incorrect because:
B: Administering a pneumococcal conjugate vaccine is not the immediate priority in this scenario where treatment for an existing infection is needed.
C: Initiation of serum glucose testing every 1 hr is not indicated without further context or rationale provided in the question.
D: Initiating neutropenic precautions is not necessary based on the information provided and is not a direct action to address the immediate issue at hand.