ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Child receiving peritoneal dialysis with minimal dialysate outflow
Question 1 of 5
A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Changing position may reposition the catheter, improving outflow. A. Fluid intake doesn't fix outflow. B. Longer dwell doesn't address obstruction. D. Bruit isn't relevant here.
Extract:
Diagnostic Results Cerebrospinal fluid Pressure: 22 cm H2O (less than 20 cm H2O) Color: Cloudy (clear or colorless) Blood: None (none) Cells RBC: 0 (0) WBC: 36 cells/mcL (0 to 30 cells/mcL) Protein: 92 mg/dL (up to 70 mg/dL) Glucose: 36 mg/dL (50 to 75 mg/dL) Serum glucose: 64 mg/dL (60 to 100 mg/dL)
Question 2 of 5
A nurse in an emergency department is caring for a 3-month-old infant. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A. CSF results suggest bacterial meningitis (elevated pressure, cloudy, high WBC, high protein, low glucose), requiring immediate antibiotics like ceftriaxone. B. Low CSF glucose relates to infection, not requiring hourly testing. C. Vaccination is preventive, not treatment. D. Neutropenic precautions are for low neutrophils, not indicated here.
Extract:
School-age child receiving morphine
Question 3 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: D
Rationale: Bradypnea is a common morphine effect due to respiratory depression. A. Hypotension, not hypertension, is likely. B. SJS isn't linked. C. Healing isn't affected.
Extract:
1-week-old newborn with hyperbilirubinemia treated with phototherapy
Question 4 of 5
A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Phototherapy can overheat the newborn; monitoring temperature every 2 hours prevents hyperthermia. B. Mittens aren't related to phototherapy. C. Lotion interferes with treatment. D. Eye checks should be every 4 hours for irritation.
Extract:
Child receiving peritoneal dialysis with minimal dialysate outflow
Question 5 of 5
A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Changing position may reposition the catheter, improving outflow. A. Fluid intake doesn't fix outflow. B. Longer dwell doesn't address obstruction. D. Bruit isn't relevant here.