ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Toddler after orchiopexy procedure
Question 1 of 5
A nurse is providing education to the parents of a toddler who is being discharged after an orchiopexy procedure. Which of the following statements indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A. Avoiding straddled toys for 2 weeks protects the surgical site. B. Full activity risks injury. C. Fertility isn’t guaranteed post-orchiopexy. D. Pain meds are often needed.
Extract:
History and Physical A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10.
Question 2 of 5
Select the 5 interventions the nurse should include.
Correct Answer: A,B,E,H
Rationale:
Correct Answer: A,B,E,H. A. Folic acid is important for patients with sickle cell disease because it helps produce new red blood cells. B. Continuous monitoring of oxygen saturation is crucial because hypoxia can exacerbate sickling of red blood cells. E. Patients with sickle cell disease are at increased risk for infections, including pneumococcal infections, due to functional asplenia. H. Hydroxyurea increases fetal hemoglobin production, reducing the frequency of vaso-occlusive crises. Interventions to avoid: C. Cold can cause vasoconstriction, worsening pain. D. Hydration is crucial; restricting intake could worsen the crisis. F. Strict bed rest increases the risk of complications like thrombosis. G. Meperidine is not recommended due to side effects like respiratory depression.
Extract:
Adolescent with new diagnosis of type 1 diabetes mellitus
Question 3 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:
Correct Answer: D. Nutritionist consultation aids dietary management of T1DM. A. Insulin lasts 28 days once opened. B. Monitoring should be multiple times daily. C. PT isn’t standard unless specific issues arise.
Extract:
School-age child with diabetes mellitus
Question 4 of 5
A nurse is caring for a school-age child who has diabetes mellitus. Which of the following findings should the nurse recognize as being consistent with hyperglycemia?
Correct Answer: C
Rationale:
Correct Answer: C. Thirst is a classic sign of hyperglycemia due to dehydration from polyuria. A. Tremors are more typical of hypoglycemia. B. Pallor isn’t specific to hyperglycemia. D. Sweating can occur in both hypo- and hyperglycemia.
Extract:
Child recently admitted for suspected rheumatic fever
Question 5 of 5
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: C,D,E
Rationale: C. CRP indicates inflammation, elevated in rheumatic fever. D. ASO titer shows prior streptococcal infection, key to diagnosis. E. ESR, another inflammation marker, supports diagnosis. A. BUN assesses kidney function, not specific. B. PTT evaluates clotting, unrelated.