ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
Flow Sheet Day 1, 1030: Temperature 38.7° C (101.7° F), Heart rate 114/min, Respiratory rate 26/min, Blood pressure 114/80 mm Hg, SpO2 97% on room air; Day 2, 0730: Temperature 38.9° C (102° F), Heart rate 104/min, Respiratory rate 24/min, Blood pressure 104/80 mm Hg, SpO2 98% on room air; Nurses' Notes Day 2, 0730: Drowsy and lethargic, nuchal rigidity present, mucous membranes pink and moist, cervical lymph slightly enlarged, respirations regular, radial pulse 2+, capillary refill <2 seconds, good skin turgor.
Question 1 of 5
A nurse is caring for the child the following day. Click to highlight the findings that indicate the child is progressing as expected.
Correct Answer: A,C,D,E,F,G,
Rationale: The correct choices indicate positive progress in the child's condition. Pink and moist mucous membranes (
A) indicate adequate perfusion. A radial pulse 2+ bilateral (
C) signifies good circulation. Capillary refill <2 seconds (
D) indicates proper blood flow. Active bowel sounds (E) suggest normal gastrointestinal function. Warm and dry extremities (F) indicate adequate circulation. Good skin turgor (G) reflects proper hydration status. These findings collectively show the child is progressing as expected.
Choices B is incorrect as clear breath sounds alone do not indicate overall improvement.
Extract:
A nurse is admitting a school-age child who has osteomyelitis.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The nurse should first obtain a blood culture because it is crucial in identifying the causative organism in a suspected infection. This step helps guide appropriate antibiotic therapy promptly. Requesting a referral for physical therapy, administering IV antibiotics, and recording intake and output are important interventions, but obtaining a blood culture takes precedence in cases of suspected infection to ensure accurate and timely treatment.
Extract:
A nurse is performing a physical assessment for a 13-year-old adolescent.
Question 3 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:
A nurse is caring for a preschooler who has a gastrostomy tube.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Use barrier ointments around the site. This is the appropriate action to prevent skin breakdown and irritation around the tube site. Barrier ointments create a protective layer between the skin and the tube, reducing friction and moisture-related skin damage.
Choice B is incorrect as hydrogen peroxide can be too harsh and may cause further skin irritation.
Choice C is incorrect as maintaining tension can lead to pressure ulcers.
Choice D is incorrect as transparent dressings may not provide adequate protection from friction and moisture.
Extract:
A nurse is providing preoperative teaching for a 9-year-old child who is scheduled for a tonsillectomy.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because using simple diagrams helps enhance understanding, especially for visual learners. It aids in clear communication and comprehension of the procedure.
Choice B, indicating on a stuffed animal, only provides a vague representation.
Choice C, providing teaching immediately before, may not allow enough time for processing.
Choice D, discussing benefits, is important but not the immediate action needed for clarity.