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: The correct answer is A: Discard the first voided specimen. This is because the first voided specimen may contain substances that have accumulated overnight and are not representative of the 24-hour collection. It is important to start the collection after discarding the first void and then collect all subsequent voids over the next 24 hours.
Choice B is incorrect as voiding every hour is not necessary for a 24-hour urine collection.
Choice C is incorrect because cleansing with a povidone-iodine solution is not typically required for a urine collection.
Choice D is incorrect because saving the final specimen in a separate container is unnecessary and may lead to confusion.
Question 2 of 5
A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C: An adolescent who has sickle cell anemia and slurred speech. This client should be assessed first because slurred speech could indicate a potential stroke, a life-threatening complication of sickle cell anemia. The nurse needs to act quickly to rule out this serious condition and initiate appropriate interventions.
Choices A, B, and D, while important, do not pose immediate life-threatening risks compared to the potential stroke in choice C. Care for the toddler with osteomyelitis can be safely delayed for a brief period, the adolescent in skin traction can be managed with pain medications until the nurse assesses the client with slurred speech, and the toddler with a burn can wait for the dressing change while the nurse addresses the urgent situation with the adolescent.
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: The correct answer is B: Frequent negative responses.
Toddlers often display frequent negative responses as they are exploring their independence and testing boundaries. It is a normal part of their development.
Choice A is incorrect as toddlers typically thrive on routines for predictability.
Choice C is incorrect as toddlers are known for their emotional lability, having quick and intense mood changes.
Choice D is incorrect as toddlers are in a stage where they are developing autonomy and independence, not increased dependency.
Question 4 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: B,C,D
Rationale: The correct answer is B, C, and D.
B: C-reactive protein (CRP) is elevated in inflammatory conditions like rheumatic fever, indicating active inflammation.
C: Erythrocyte sedimentation rate (ESR) is also elevated in inflammatory conditions, supporting the diagnosis of rheumatic fever.
D: Antistreptolysin O (ASO) titer is used to detect a recent streptococcal infection, which can trigger rheumatic fever.
Incorrect choices:
A: Partial thromboplastin time (PTT) is not specific to rheumatic fever.
E: Blood urea nitrogen (BUN) is not relevant for diagnosing rheumatic fever.
Question 5 of 5
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
Correct Answer: C
Rationale: The correct answer is C: Monitor for pallor or swelling in the child's affected hand. This is the priority because it indicates circulation issues, such as compartment syndrome, which is a medical emergency that can lead to tissue damage. Skin irritation at cast edges (
A) is important but not as urgent as circulation issues. Restricting strenuous activities (
B) is important for healing but not the priority. Using a hair dryer for itching (
D) can introduce moisture into the cast, leading to skin breakdown.