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: Improved hydration (moist mucosa, skin turgor), perfusion (capillary refill, pulse), and vital signs (heart rate, respiratory rate, SpO2) indicate progress.
Extract:
A nurse is providing teaching to the parent of a school-age child who has diabetes mellitus about managing diabetes during illness.
Question 2 of 5
Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: B
Rationale: Increasing fluids prevents dehydration during illness, showing understanding.
Extract:
A nurse is assessing a child who has bacterial pneumonia.
Question 3 of 5
Which of the following findings should the nurse identify as a potential risk for aspiration?
Correct Answer: B
Rationale: Neurological deficits impair swallowing, increasing aspiration risk.
Extract:
Vital Signs Day 1: Temperature 38.8° C (101.8° F), Heart rate 110/min, Respiratory rate 18/min, Blood pressure 110/70 mm Hg; Day 2: Temperature 37.6° C (99.7° F), Heart rate 100/min, Respiratory rate 18/min, Blood pressure 108/68 mm Hg; Laboratory Results Day 1: Hgb 15 g/dL (10 to 15.5 g/dL), Hct 40% (32% to 44%), WBC count 14,000/mm3 (5,000 to 10,000/mm3), Wound culture pending (Negative); Day 2: WBC count 15,000/mm3 (5,000 to 10,000/mm3); A nurse is caring for a 15-year-old adolescent who has cellulitis of the left lower calf.
Question 4 of 5
The nurse is assessing the adolescent 24 hr after the initial visit. How should the nurse interpret the findings? For each finding, click to specify whether the finding is an indication of potential improvement or an indication of potential worsening condition:
| Finding | indication of potential improvement | indication of potential worsening condition |
|---|---|---|
| A. Temperature | ||
| WBC count | ||
| Weight-bearing ability on the affected leg, | ||
| Wound assessment |
Correct Answer: A: Improvement, B: Worsening, C: Improvement, D: Worsening
Rationale: Temperature: The decrease from 38.8° C to 37.6° C indicates potential improvement in the infection response. WBC count: The increase from 14,000/mm³ to 15,000/mm³, still elevated, suggests a potential worsening condition if the trend continues. Weight-bearing ability: Improvement suggests reduced pain or swelling, indicating potential improvement. Wound assessment: Pending culture and possible ongoing inflammation suggest potential worsening if cellulitis spreads.
Extract:
A nurse is planning care for a school-age child who has acute glomerulonephritis.
Question 5 of 5
Which of the following interventions should the nurse include?
Correct Answer: A
Rationale: Monitoring BP every 4 hr detects hypertension from fluid retention.