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 school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse?
Correct Answer: C
Rationale: The correct answer is C: Bruising around the wrists. This finding is a potential indicator of physical abuse because bruising around the wrists may suggest that the child has been forcefully grabbed or restrained. Bruises in areas not typically injured during normal play or accidents can be a red flag for abuse. Bruising on the wrists can also indicate defensive injuries. The other choices are less likely to be indicators of physical abuse. A missing front deciduous tooth (
A) is a common occurrence in children due to natural tooth loss. Weight in the 45th percentile (
B) is within the normal range and does not indicate abuse. Abrasions on the knees (
D) are common in active children and are usually not suggestive of abuse.
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 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 5 of 5
A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?
Correct Answer: B
Rationale: The correct answer is B: Clear the area of hard objects. During a seizure, it is important to ensure the safety of the individual by removing any nearby hard objects that could cause injury. Placing the child in a prone position (choice
C) is not recommended as it can lead to airway obstruction. Minimizing movement of the limbs (choice
A) is also not necessary as it may not be possible to control the child's movements during a seizure. Inserting a tongue blade between the teeth (choice
D) is dangerous and can cause harm.
Therefore, the best action to take during a seizure is to clear the area of hard objects to prevent injury.