ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Adolescent with new diagnosis of type 1 diabetes mellitus
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: D
Rationale:
Correct Answer: D. Nutritionist consultation aids dietary management of T1DM. A. Insulin lasts 28 days once opened. B. Monitoring should be multiple times daily. C. PT isn’t standard unless specific issues arise.
Extract:
Toddler who is cognitively impaired
Question 2 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a non-pharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: A
Rationale: The FLACC scale (Faces, Legs, Activity, Cry, Consolability) assesses pain via observable behaviors, ideal for cognitively impaired toddlers. B. Visual analog requires self-reporting, unsuitable for this age and impairment. C. FACES needs comprehension of expressions, not ideal here. D. CRIES is for neonates.
Extract:
Child in the acute stage of nephrotic syndrome
Question 3 of 5
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Daily weighing monitors fluid retention, critical in nephrotic syndrome. A. Increased fluids worsen edema. C. Supine positioning may increase edema; elevation helps. D. Calorie restriction harms recovery.
Extract:
5-year-old child who has nephrotic syndrome who weighs 12 kg (26.5 lb) postoperative following open-heart surgery
Question 4 of 5
A nurse is caring for a 5-year-old child who has nephrotic syndrome who weighs 12 kg (26.5 lb) and is postoperative following open-heart surgery. Which of the following findings suggests that the management has been effective?
Correct Answer: B
Rationale:
Correct Answer: B. 256 mL over 8 hr (~32 mL/hr) exceeds the minimum 1 mL/kg/hr for 12 kg, indicating good hydration in nephrotic syndrome. A. 37.2°C is normal but not specific. C. No pain is good but not a key indicator. D. Odorless urine is normal, not treatment-specific.
Extract:
Child with sickle cell anemia
Question 5 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: A
Rationale: Facial twitching may signal a stroke, a critical sickle cell complication requiring immediate reporting. B. Kyphosis is chronic, not urgent. C. Enuresis is common, not priority. D. Constipation is manageable, not critical.