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 preschooler who had a tonsillectomy. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Notify the provider if your child is swallowing frequently. This is important post-tonsillectomy as it may indicate bleeding, which needs immediate medical attention.
Choice A is incorrect as dark brown blood between teeth is not a typical sign of bleeding.
Choice B is incorrect as straws can increase the risk of bleeding.
Choice D is incorrect as clearing the throat can irritate the surgical site.
Extract:
The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis. Assessment: Child is alert and responsive, Respiratory rate even and nonlabored at rate of 24/min. No adventitious sounds auscultated, Heart rate 108/min, Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities.
Question 2 of 5
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.
Correct Answer: A,B,D,F,G
Rationale:
To provide comprehensive discharge instructions for a child's guardian, the nurse should include the following statements:
A: Cutting and filing the child's fingernails frequently is important to prevent skin damage from scratching.
B: Using a mild detergent for the child's laundry helps prevent skin irritation and allergic reactions.
D: Informing the guardian about occasional flare-ups prepares them for potential exacerbations of the condition.
F: Applying gloves to the child's hands can help protect the lesions from scratching and prevent infection.
G: Applying emollients to the child's skin after bathing helps maintain skin hydration and prevent dryness.
These instructions aim to promote skin health, prevent complications, and manage the child's condition effectively.
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 3 of 5
Select words from the choices 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). Nephrotic syndrome is a kidney disorder characterized by proteinuria and edema, common in children. Acute glomerulonephritis is inflammation of the kidney's glomeruli often caused by infections. Both conditions put the child at risk for kidney damage and long-term complications.
Choices B, C, and E are not directly related to the child's risk of developing kidney issues. Renal scarring is typically a result of past infections or injuries, not a direct risk factor. Polycystic kidney disease is a genetic condition, and pyelonephritis is a bacterial infection of the kidney.
Therefore, A and D are the most appropriate choices given the context of the sentence.
Extract:
Question 4 of 5
A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up-to-date with the current schedule. Which of the following immunizations should the nurse plan to administer? Select all that apply.
Correct Answer: A,B
Rationale: The correct answer is A and B. At 12 months, the recommended immunizations are MMR and VAR. MMR protects against measles, mumps, and rubella, which are highly contagious diseases. VAR protects against chickenpox (varicella), preventing severe complications.
Choice C, Rotavirus, is typically given earlier at 2, 4, and 6 months.
Choices D and E are not recommended at 12 months; Herpes zoster is for older individuals, and HPV4 is typically given around age 11-12.
Question 5 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Nausea. Morphine, an opioid analgesic, commonly causes gastrointestinal side effects such as nausea. The nurse should monitor for nausea as it can lead to vomiting, dehydration, and poor oral intake. Prolonged wound healing (
A) is not a typical adverse effect of morphine. Stevens-Johnson syndrome (
C) is a severe skin reaction usually caused by medications other than morphine. Renal failure (
D) is not a common adverse effect of morphine; however, it can occur in patients with pre-existing kidney issues or when morphine is used in high doses for a prolonged period.