ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for an adolescent who has major depressive disorder. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A. Asking the client if he is considering harming himself is the priority as it assesses the immediate risk of self-harm, which is crucial in managing major depressive disorder. This action allows the nurse to evaluate the severity of the client's condition and initiate appropriate interventions to ensure the client's safety. Encouraging group therapy (
B) and administering antidepressants (
C) are important, but assessing for self-harm takes precedence. Assisting with ADLs (
D) is also important but not as urgent as assessing for self-harm.
Question 2 of 5
A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider?
Order the Items
Source Container
Correct Answer: A
Rationale: The correct order is: A, B, C, D. The nurse should report a high creatinine level (1.4 mg/dL) as it indicates possible kidney damage from gentamicin, which is nephrotoxic. A low creatinine level (0.3 mg/dL) is within the normal range and not concerning. BUN levels are not as specific for kidney damage as creatinine, so a slightly high (12 mg/dL) or low (6 mg/dL) BUN level may not be as urgent to report.
Question 3 of 5
A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take?
Correct Answer: A
Rationale: The correct answer is A: Obtain written consent from the client. This is appropriate because the adolescent has the right to make their own healthcare decisions regarding STI testing. Written consent ensures the client understands the procedure and gives informed permission. Verbal consent (choice
B) may not be sufficient for such a sensitive test. Contacting the client's parents (choice
C) may violate the adolescent's confidentiality and autonomy. Postponing the testing (choice
D) could lead to potential harm if the adolescent needs immediate medical attention.
Question 4 of 5
A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hyperpyrexia. Acetylsalicylic acid poisoning can lead to metabolic acidosis and increased body temperature (hyperpyrexia). The salicylate toxicity inhibits the body's ability to regulate temperature. Neck vein distention (
A) is not typically associated with acetylsalicylic acid poisoning. Polyuria (
B) is not a common symptom; in fact, dehydration and renal failure may lead to decreased urine output. Jaundice (
C) is not a direct effect of aspirin poisoning. In summary, hyperpyrexia is the most likely symptom of acute acetylsalicylic acid poisoning, while the other options are not typically seen in this condition.
Question 5 of 5
A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?
Correct Answer: B
Rationale: The correct answer is B: Provide a pacifier coated with an oral sucrose solution prior to the injections. This is appropriate as it helps to reduce pain and distress during the immunizations for the infant. The pacifier with sucrose solution can provide comfort and distraction, leading to a more positive experience.
Choice A (EMLA cream) may reduce pain but is not as effective for infants.
Choice C (deltoid muscle) is not recommended for infants.
Choice D (20-gauge needle) is too large for an infant and may cause more pain.