ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct
Answer: C - "I will ensure that my child consumes a high-calorie diet."
Rationale:
1. Children with cystic fibrosis have increased energy needs due to malabsorption issues.
2. A high-calorie diet helps maintain weight and overall nutritional status in CF patients.
3. Adequate calorie intake supports growth and development, which is crucial for CF patients.
4. The statement indicates an understanding of the importance of nutritional management in cystic fibrosis.
Incorrect
Choices:
A: Annual sweat chloride testing is important for CF diagnosis but does not demonstrate understanding of ongoing care.
B: Chewing pancrelipase before eating is incorrect; it should be taken with meals for proper digestion.
D: Dornase alfa is used for mucolytic therapy in CF, not for wheezing.
E, F, G: Not provided, but they would likely be incorrect as they do not pertain to CF management.
Extract:
Adolescent with new diagnosis of type 1 diabetes mellitus
Question 2 of 5
A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus. Which of the following recommendations should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Consult with a nutritionist. This is essential for managing type 1 diabetes as proper nutrition plays a crucial role in blood sugar control. A nutritionist can help the adolescent understand how to balance meals, count carbohydrates, and make healthier food choices. Monitoring capillary blood glucose daily (
B) is important, but it is not specific to a recommendation for a new diagnosis. Storing opened vials of insulin for up to 60 days (
A) is incorrect as insulin should be properly stored according to manufacturer guidelines. Following up with physical therapy (
C) may be beneficial for overall health but is not a priority in managing type 1 diabetes.
Extract:
Nurses' Notes 0700: 7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor.
Question 3 of 5
For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
Correct Answer: A: Anticipated, B: Contraindicated, C: Anticipated, D: Contraindicated, E: Contraindicated
Rationale: The correct answer is: A: Anticipated, B: Contraindicated, C: Anticipated, D: Contraindicated, E: Contraindicated.
Rationale:
A: Administering sulfamethoxazole and trimethoprim is anticipated as it is a common antibiotic for treating infections.
B: Salicylic acid is contraindicated for pain and fever in children due to the risk of Reye's syndrome.
C: Educating the child about proper perineal hygiene is anticipated to prevent infections.
D: Advising about sunscreen use is contraindicated as salicylic acid increases sensitivity to sunlight.
E: Restricting fluid intake to 1,200 mL/day is contraindicated as it may lead to dehydration in children.
Summary:
Choices A and C are correct due to their benefits for the client.
Choices B, D, and E are incorrect due to potential risks or
Extract:
School-age child with pertussis
Question 4 of 5
A nurse is caring for a school-age child who has pertussis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is to report the diagnosis to the public health department (choice
C) because pertussis is a communicable disease that requires public health monitoring to prevent outbreaks. Placing the child in a protected environment (choice
A) is not necessary as pertussis is spread through respiratory droplets, not airborne transmission. Administering the pertussis vaccine (choice
B) is a preventive measure, not a treatment for an active infection. Restricting oral fluids (choice
D) is not recommended as proper hydration is important for managing pertussis symptoms.
Extract:
Toddler who weighs 12 kg (26.5 lb) postoperative following open-heart surgery
Question 5 of 5
A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 lb) and is postoperative following open-heart surgery. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Urine output of 15 mL in the last 2 hr. In a postoperative pediatric patient, a low urine output can indicate inadequate renal perfusion, which could be a sign of decreased cardiac output or dehydration. This finding is crucial to report to the provider as it may indicate a need for intervention to optimize the patient's fluid status and cardiac function.
The other choices are incorrect because:
B: Pedal and posterior tibial pulses of 2+ indicate adequate peripheral perfusion.
C: Skin temperature of 36°C is within the normal range for pediatric patients.
D: Drainage from the chest tube of 22 mL in the last hour is expected postoperatively and does not indicate an immediate concern.
In summary, the low urine output is the most critical finding that requires immediate attention to ensure the toddler's optimal recovery and well-being.