ATI RN
ATI RN Pediatric Nursing 2023 I 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: A
Rationale: The correct answer is A: "I will ensure that my child consumes a high-calorie diet." This statement indicates an understanding of the teaching because children with cystic fibrosis often have difficulty maintaining weight due to malabsorption. A high-calorie diet helps to meet their increased energy needs.
Choice B is incorrect because sweat chloride testing is usually done more frequently than annually for monitoring cystic fibrosis.
Choice C is incorrect because pancrelipase medication should be taken with meals, not chewed before eating.
Choice D is incorrect because dornase alfa is not used for wheezing but for improving lung function in cystic fibrosis.
Extract:
Nurses' Notes 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter. Vital Signs 0930: Temperature 38.4° C (101.1° F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).
Question 2 of 5
Select words from the choices below to fill in each blank in the following sentence. The child is at risk for developing _______ and ______.
Correct Answer: A,D
Rationale: The correct answer is A (Nephrotic syndrome) and D (Acute glomerulonephritis) because both conditions are common kidney disorders in children. Nephrotic syndrome is characterized by proteinuria, hypoalbuminemia, edema, and hyperlipidemia, putting the child at risk for fluid imbalances and infections. Acute glomerulonephritis is an inflammation of the glomeruli causing hematuria, proteinuria, and hypertension, leading to potential renal damage and long-term complications.
Choices B, C, and E are not directly related to the child's risk in the given sentence.
Extract:
Question 3 of 5
A nurse is caring for a child who has disseminated intravascular coagulation. Which of the following laboratory findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Decreased platelet count. In disseminated intravascular coagulation (DI
C), there is widespread activation of the coagulation system, leading to the consumption of platelets and clotting factors. This results in a decreased platelet count. Option A, decreased prothrombin time, is incorrect because in DIC, there is actually an increased prothrombin time due to the consumption of clotting factors. Option B, increased Hgb level, is incorrect as DIC does not typically affect hemoglobin levels. Option C, increased RBC count, is incorrect as DIC does not affect red blood cell production.
Question 4 of 5
A nurse is assessing a child for scabies. Which of the following findings should the nurse identify as a manifestation of scabies?
Correct Answer: D
Rationale: The correct answer is D: Maculopapular skin burrows on the hand. Scabies is caused by the Sarcoptes scabiei mite burrowing into the skin, leading to the characteristic burrows. These burrows often appear as tiny, raised, serpiginous lines on the hands, wrists, and interdigital spaces. The other choices are incorrect as scaly lesions on the inner thighs (
A) are more suggestive of eczema or psoriasis, a rash with red macular lesions on the scalp (
B) is more indicative of conditions like seborrheic dermatitis or fungal infections, and a bull's eye edematous area on the groin (
C) is more characteristic of conditions like Lyme disease.
Therefore, the presence of maculopapular skin burrows on the hand is the key manifestation of scabies.
Question 5 of 5
A nurse is performing a cranial nerve assessment on a school-age child. Which of the following findings indicates proper functioning of the child's trigeminal nerve?
Correct Answer: D
Rationale: The correct answer is D. Proper functioning of the trigeminal nerve involves the sensation of the face and motor function of the jaw. When the child has symmetrical jaw strength when biting down, it indicates that the trigeminal nerve is functioning correctly. A is incorrect as it assesses the vestibular system, B assesses the glossopharyngeal nerve, and C assesses the olfactory nerve.