ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamin A, D, E, and K. Barrel-shaped chest, Clubbing of the fingers bilaterally, Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough. Vital Signs: Temperature 38.4° C (101.1° F), Heart rate 100/min, Respiratory rate 40/min, Blood pressure 100/57 mm Hg. Laboratory Results: Sputum culture positive for Pseudomonas aeruginosa, Stool analysis positive for presence of fat and enzymes, Chest x-ray indicates obstructive emphysema, WBC count 20,000/mm3 (5,000 to 10,000/mm3).
Question 1 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
Correct Answer: A,C,E
Rationale: The correct answer is A, C, and E. A nurse should expect the provider to prescribe or reconcile water-soluble vitamins (
A) for children who may need additional supplementation. Dornase alfa (
C) is used to help improve lung function in children with cystic fibrosis. Pancreatic lipase (E) is prescribed for children with pancreatic insufficiency to aid in digestion. Meperidine (
D) is not commonly used in children due to safety concerns. Acetaminophen (
B) is a common medication for children, but its use should be confirmed with the provider to ensure appropriate dosing.
Extract:
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. Vital Signs: Temperature 37.8° C (100° F), Heart rate 100/min, Blood pressure 110/72 mm Hg, Respiratory rate 20/min, Oxygen saturation 95% on room air. Assessment: Awake, alert, and oriented x 3, Yellow sclera of eyes noted bilaterally, Right upper quadrant tender to palpation, Hands painful to touch and swollen bilaterally, Right knee is swollen, warm to palpation, and the client reports pain as 8 on a scale of 0 to 10, Client is tearful and grimacing during the examination.
Question 2 of 5
The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.
Correct Answer: A,B,C,F
Rationale: The correct interventions are A, B, C, and F. A is important for preventive care, B is for medication adherence, C for monitoring, and F for pain management. A ensures protection against infection, B follows medical orders, C ensures respiratory status is stable, and F addresses pain effectively. D is incorrect as bed rest can lead to complications like muscle weakness. E is not necessary for adolescent care unless specifically indicated. G is incorrect as oral intake should not be restricted unless medically indicated. In summary, A, B, C, and F are crucial for optimal care while D, E, and G are not necessary or potentially harmful interventions.
Extract:
A nurse is caring for a child who has disseminated intravascular coagulation.
Question 3 of 5
Which of the following laboratory findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Decreased platelet count. In patients with leukemia, especially acute myeloid leukemia (AML), there is often bone marrow infiltration leading to a decrease in normal blood cell production, including platelets. This can result in thrombocytopenia, leading to a decreased platelet count. A decreased prothrombin time (choice
A) would not be expected as it indicates prolonged clotting time and is typically seen in conditions like liver disease. An increased Hgb level (choice
B) and increased RBC count (choice
C) are not typically associated with leukemia, as leukemias primarily affect white blood cells.
Therefore, these choices are incorrect in this context.
Extract:
A nurse is caring for a group of clients.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A. An 18-month-old toddler with a heart rate of 68/min is bradycardic for their age. This finding could indicate a potential cardiac issue or other underlying health concern that requires immediate attention. Bradycardia in young children can lead to decreased perfusion and oxygen delivery.
Choice B is within normal temperature range for a school-age child.
Choice C has a slightly elevated BP but is within an acceptable range for an adolescent.
Choice D is within the normal range for a 3-month-old infant.
Extract:
A nurse is providing teaching about injury prevention to the parents of a toddler.
Question 5 of 5
Which of the following safety measures should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Check clothing for loose buttons. This is important to prevent choking hazards for children. Loose buttons can easily come off and be swallowed, leading to a potential choking incident. Option B is incorrect as the recommended water heater temperature is 120° F to prevent scalding. Option C is incorrect as screens on windows may not be sufficient to prevent falls. Option D is incorrect as balloons pose a choking hazard.