ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, 'I don't understand why they need to do this procedure.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: The nurse should explain the procedure to both the adolescent and their guardian to ensure they understand the purpose, risks, and benefits. This fosters informed decision-making. It is essential for the guardian to comprehend why the procedure is necessary to provide valid consent. Requesting assistance from the anesthesiologist (
A) may not address the guardian's concerns directly. Witnessing the adolescent's signature (
C) is important but does not address the guardian's lack of understanding. Notifying the provider (
D) is not the immediate action needed to address the guardian's concern.
Question 2 of 5
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D.
B: C-reactive protein (CRP) is elevated in inflammatory conditions like rheumatic fever, indicating active inflammation.
C: Erythrocyte sedimentation rate (ESR) is also elevated in inflammatory conditions, supporting the diagnosis of rheumatic fever.
D: Antistreptolysin O (ASO) titer is used to detect a recent streptococcal infection, which can trigger rheumatic fever.
Incorrect choices:
A: Partial thromboplastin time (PTT) is not specific to rheumatic fever.
E: Blood urea nitrogen (BUN) is not relevant for diagnosing rheumatic fever.
Question 3 of 5
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: D
Rationale: The correct answer is D: Continuous swallowing. Following tonsillectomy and adenoidectomy, continuous swallowing can indicate hemorrhage as the child may be swallowing blood. This can lead to increased risk of airway obstruction and further bleeding. Heart rate, flushing of the face, and blood pressure may not be reliable indicators of hemorrhage in this case. A decrease in heart rate can be due to the child's age or medications, flushing can be a response to pain or anxiety, and the blood pressure may not necessarily indicate hemorrhage. Continuous swallowing is the most concerning finding post-operatively and should be addressed promptly.
Question 4 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "You can choose which leg you get your medicine in." This statement empowers the child by giving them a sense of control in the situation, which can help alleviate anxiety and fear associated with receiving an injection. By allowing the child to make a choice, the nurse promotes autonomy and cooperation during the procedure. This approach fosters a positive experience and helps build trust between the child and healthcare provider.
Choices A, B, and C are incorrect because they do not address the child's potential fear or anxiety about the injection. Offering a prize for not crying (
A) may inadvertently reinforce the idea that crying is expected or acceptable. Statement B may not accurately explain the purpose of the medicine or the injection process. Statement C, while attempting to minimize the sensation, does not acknowledge the child's emotional needs or provide any reassurance.
Question 5 of 5
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: The correct answer is C: Clear urine. In acute poststreptococcal glomerulonephritis, the kidneys are inflamed, leading to protein and blood in the urine, causing it to appear cloudy or dark. Clear urine indicates that the inflammation and damage to the kidneys have improved, reflecting effective treatment.
Choice A is not relevant to kidney function.
Choice B does not directly relate to kidney inflammation.
Choice D is not a specific indicator of kidney improvement.