ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Your child can rest on your lap during the procedure. This statement is correct because allowing the child to rest on the parent's lap can provide comfort and security during the procedure, reducing anxiety and promoting cooperation. Placing the child on the parent's lap can also help keep the child still, ensuring accurate results.
Choice A is incorrect because leads for an electrocardiogram are typically placed on the chest, not the back.
Choice B is incorrect because the duration of an electrocardiogram can vary but is usually shorter than 30 minutes for a toddler.
Choice D is incorrect because alarms are not typically used during the procedure unless there is a medical emergency.
Question 2 of 5
A nurse is performing an assessment for a 5-year-old child who has celiac disease. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Steatorrhea. In celiac disease, the small intestine is damaged, leading to malabsorption of fats. Steatorrhea is a classic finding characterized by bulky, greasy, foul-smelling stools due to undigested fat. This occurs because the damaged intestine is unable to absorb fats properly. The other choices are incorrect because:
A) Sausage-shaped mass in the upper right abdomen is suggestive of constipation or fecal impaction;
B) Red-currant, jelly-like stools are seen in intussusception;
C) Hematemesis is vomiting of blood, which is not typically associated with celiac disease.
Question 3 of 5
A nurse is caring for a child who has had a lumbar puncture. The nurse should monitor the child for which of the following complications?
Correct Answer: D
Rationale: The correct answer is D: Headache. After a lumbar puncture, the child may experience a post-dural puncture headache due to leakage of cerebrospinal fluid. This headache is typically aggravated by sitting or standing and relieved by lying down. Double vision (
A) is not a typical complication. Nuchal rigidity when standing (
B) is more indicative of meningitis. Pain in the posterior iliac crest (
C) is not a common complication of lumbar puncture.
Therefore, monitoring for headache (
D) is crucial.
Extract:
8-year-old child recently diagnosed with chronic renal failure
Question 4 of 5
A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Hemodialysis uses an artificial membrane outside the body to clean your child's blood. In hemodialysis, blood is circulated outside the body through a dialyzer with a semipermeable membrane that acts as an artificial kidney to remove waste products. This process mimics the filtration function of the kidneys. Option A is incorrect because hemodialysis does not use an electrolyte solution to clean the blood. Option C is incorrect as hemodialysis does not use the abdominal cavity as a membrane. Option D is incorrect as hemodialysis is not a continuous filtration process.
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 5 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: The correct answer is A: Administer ceftriaxone. In an emergency department setting, ceftriaxone is commonly used to treat bacterial infections in infants. It covers a broad spectrum of bacteria and is often indicated in cases of suspected sepsis or meningitis. Administering this antibiotic promptly can be crucial in preventing serious complications.
Summary of other choices:
B: Initiate serum glucose testing every 1 hr - Not typically indicated for a 3-month-old infant unless there are specific concerns about glucose levels.
C: Administer pneumococcal conjugate vaccine - Vaccination is important but not an immediate action in an emergency setting.
D: Initiate neutropenic precautions - Neutropenic precautions are not typically necessary for a 3-month-old infant in the emergency department setting.