ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: While osteomyelitis is a serious condition requiring treatment, receiving an IV bolus of nafcillin is not an urgent procedure compared to a neurological symptom like slurred speech. Pain management is important, but a pain level of 7, while significant, does not indicate an immediate life-threatening situation. Slurred speech in an adolescent with sickle cell anemia could indicate a neurological complication or a stroke, which requires immediate assessment and intervention. Although the toddler with a partial-thickness burn needs care, it is not as urgent as assessing a potential neurological issue.
Question 2 of 5
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: A
Rationale: Oral electrolyte solution helps prevent dehydration and replaces lost electrolytes in infants with acute diarrhea, making it the most appropriate choice. Applesauce may worsen diarrhea due to its high sugar content. White grape juice is also high in sugar and may worsen diarrhea. Chicken soup is not recommended as it may be too heavy and rich for an infant with acute diarrhea.
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: C
Rationale: Inhalation of gasoline is more likely to cause hyperthermia due to its effects on the central nervous system and metabolic rate. Hyperactive reflexes are not typically associated with gasoline inhalation but rather with stimulant use such as amphetamines or cocaine. Ataxia, or lack of coordination, is a common neurological symptom of gasoline inhalation due to its toxic effects on the brain and nervous system. Pinpoint pupils are more commonly associated with opioid overdose, not gasoline inhalation.
Question 4 of 5
A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: This option provides a suitable alternative for obtaining calcium without consuming milk, which is appropriate for someone who is lactose intolerant. While plain milk may be better tolerated than chocolate milk due to fewer additives, it's not a suitable option for someone who is lactose intolerant. Flavored yogurt may contain lactose and could potentially worsen symptoms of lactose intolerance. Drinking milk on an empty stomach doesn't address the issue of lactose intolerance and may exacerbate symptoms.
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: A normal temperature does not specifically indicate the effectiveness of treatment for acute poststreptococcal glomerulonephritis. Pain with voiding is not typically associated with this condition and therefore does not indicate treatment effectiveness. Clear urine indicates that the kidneys are effectively filtering waste and fluid, suggesting treatment effectiveness. Odorless urine is a normal characteristic and does not specifically indicate treatment effectiveness.