ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Adolescent scheduled for a cardiac catheterization, guardian states, 'I don't understand why they need to do this procedure.'
Question 1 of 5
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The 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: The correct answer is B: Notify the provider who is scheduled to perform the procedure. This is the best action because the provider can directly address the guardian's concerns and provide a detailed explanation of why the procedure is necessary. It ensures that the guardian receives accurate information from a medical professional, which can help alleviate their concerns and increase their understanding.
Rationale:
1. Involving the provider ensures that the guardian receives information from a qualified medical expert.
2. The provider can address specific concerns and provide detailed information about the procedure.
3. Direct communication with the provider can help build trust and confidence in the medical team.
4. This approach prioritizes clear communication and informed decision-making, which is essential in obtaining valid consent.
Summary:
A: Witnessing the adolescent's signature does not address the guardian's concerns or provide necessary clarification.
C: Involving the anesthesiologist may not be the most appropriate step as they are not directly involved in explaining the procedure.
D: Explaining
Extract:
Child receiving peritoneal dialysis with minimal dialysate outflow
Question 2 of 5
A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C. Instruct the child to change position.
Rationale: Changing the child's position can help redistribute the dialysate within the peritoneal cavity, promoting better outflow. This can help overcome any potential blockages or obstructions that may be impeding the flow of dialysate. Additionally, changing position can help prevent the dialysate from becoming stagnant in one area, improving the effectiveness of peritoneal dialysis.
Incorrect
Choices:
A: Increasing oral fluid intake may help with hydration but will not directly address the issue of minimal dialysate outflow.
B: Increasing the dwell time during the next dialysis infusion may lead to increased absorption of waste products but will not address the current issue of minimal outflow.
D: Assessing for a bruit at the site of the peritoneal catheter is important for monitoring catheter function but will not directly address the current issue of minimal outflow.
Extract:
Child in the acute stage of nephrotic syndrome
Question 3 of 5
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Weigh the child once per day. In nephrotic syndrome, monitoring daily weight is crucial as it reflects fluid retention or loss, a key indicator of disease progression. Weight gain may indicate edema, while weight loss may indicate dehydration. This intervention helps assess the effectiveness of treatment and guides adjustments to fluid and medication management. Increasing fluid intake (
A) is not recommended as the child may already have fluid retention. Positioning the child supine at bedtime (
C) is unnecessary and may not be comfortable for the child. Limiting calorie intake (
D) is not the priority in the acute stage; maintaining adequate nutrition is important.
Extract:
Diagnostic Results Cerebrospinal fluid Pressure: 22 cm H2O (less than 20 cm H2O) Color: Cloudy (clear or colorless) Blood: None (none) Cells RBC: 0 (0) WBC: 36 cells/mcL (0 to 30 cells/mcL) Protein: 92 mg/dL (up to 70 mg/dL) Glucose: 36 mg/dL (50 to 75 mg/dL) Serum glucose: 64 mg/dL (60 to 100 mg/dL)
Question 4 of 5
A nurse in an emergency department is caring for a 3-month-old infant. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer ceftriaxone. In an emergency department setting, ceftriaxone is commonly used to treat bacterial infections in infants. It covers a broad spectrum of bacteria and is often indicated in cases of suspected sepsis or meningitis. Administering this antibiotic promptly can be crucial in preventing serious complications.
Summary of other choices:
B: Initiate serum glucose testing every 1 hr - Not typically indicated for a 3-month-old infant unless there are specific concerns about glucose levels.
C: Administer pneumococcal conjugate vaccine - Vaccination is important but not an immediate action in an emergency setting.
D: Initiate neutropenic precautions - Neutropenic precautions are not typically necessary for a 3-month-old infant in the emergency department setting.
Extract:
1-year-old child hospitalized
Question 5 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: A
Rationale: The correct answer is A: Bedside computer keyboard. Bedside computer keyboards are frequently touched by multiple healthcare providers without proper disinfection, leading to cross-contamination and potential healthcare-associated infections. Protective plastic gowns, unopened bottles of formula, and disposable diapers are not common sources of infection in the child's room as long as they are handled and disposed of properly. It is crucial to prioritize proper hygiene practices and regular cleaning of frequently touched surfaces like computer keyboards to prevent the spread of infections in healthcare settings.