ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: Discarding the first voided specimen is necessary for a 24-hour urine collection to ensure the collection reflects a full 24-hour period. Voiding every hour is not a specific instruction for a 24-hour urine collection and may not be practical or feasible. Cleansing the perineum with a povidone-iodine solution is not necessary unless specifically instructed by the healthcare provider. Saving the final specimen in a separate container is not required.
Question 2 of 5
A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: Stevens-Johnson syndrome is a severe allergic reaction that can occur with various medications, but it is not a common adverse effect of prednisolone. Prolonged wound healing is a potential adverse effect of corticosteroids like prednisolone due to their immunosuppressive effects. Hypotension is not a common adverse effect of prednisolone; rather, it can cause fluid retention and hypertension. Renal failure is a rare adverse effect of prednisolone and is not typically monitored for in school-age children unless there are preexisting renal issues.
Question 3 of 5
A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?
Correct Answer: B
Rationale:
Toddlers thrive on routines and consistency, which provide them with security and predictability.
Toddlers are in a stage of development where they assert their independence and autonomy by saying 'no' or 'mine' to almost everything. This is a normal and healthy behavior that reflects their growing sense of self and identity.
Toddlers are typically emotionally labile, meaning they can experience rapid changes in mood and emotions.
Toddlers may display increased independence rather than increased dependency as they strive to assert their autonomy.
Question 4 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 5 of 5
A nurse is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: No head lag when pulled to a sitting position is a normal finding at 4 months of age. They should not have doll's eye reflex intact, which means that their eyes move in the opposite direction of their head when turned. This reflex normally disappears by 3 months of age and its persistence may indicate brain damage. The presence of tears when crying is a normal finding at 4 months of age. They should also have positive Babinski reflex, which means that their toes fan out when their sole is stroked. This reflex normally disappears by 12 months of age.