ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Child recently admitted for suspected rheumatic fever
Question 1 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: C,D,E
Rationale: The correct laboratory tests for confirming rheumatic fever are C-reactive protein (CRP), Antistreptolysin O (ASO) titer, and Erythrocyte sedimentation rate (ESR). CRP is elevated in inflammation, ASO titer indicates recent streptococcal infection, and ESR is elevated in inflammatory conditions like rheumatic fever. BUN (
A) is not specific to rheumatic fever. PTT (
B) is a coagulation test and not related to the diagnosis. Choosing C, D, and E is crucial for confirming rheumatic fever due to their specificity to the disease process.
Extract:
School-age child who weighs 20 kg (44 lb) postoperative with chest tubes
Question 2 of 5
A nurse is caring for a school-age child who weighs 20 kg (44 lb) and is postoperative with chest tubes in place. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Chest tube drainage of 200 mL in 1 hr. This finding should be reported to the provider because it indicates excessive chest tube drainage, which could signal a complication such as hemorrhage or fluid imbalance that needs immediate intervention. Other choices are not as concerning:
A) Respiratory rate within normal limits,
C) Serous drainage is expected postoperatively,
D) Fluctuation in water-sealed chamber is normal. Reporting excessive chest tube drainage helps prevent further complications.
Extract:
Question 3 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.
Extract:
Child receiving peritoneal dialysis with minimal dialysate outflow
Question 4 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:
Correct Answer: C. Instruct the child to change position.
Rationale: Changing the child's position can help redistribute the dialysate within the peritoneal cavity, promoting better outflow. This can help overcome any potential blockages or obstructions that may be impeding the flow of dialysate. Additionally, changing position can help prevent the dialysate from becoming stagnant in one area, improving the effectiveness of peritoneal dialysis.
Incorrect
Choices:
A: Increasing oral fluid intake may help with hydration but will not directly address the issue of minimal dialysate outflow.
B: Increasing the dwell time during the next dialysis infusion may lead to increased absorption of waste products but will not address the current issue of minimal outflow.
D: Assessing for a bruit at the site of the peritoneal catheter is important for monitoring catheter function but will not directly address the current issue of minimal outflow.
Extract:
Medication Administration Record - Diphenhydramine 10 mg PO 4 times per day - Pimecrolimus 1% cream apply to skin lesions daily
Question 5 of 5
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.
Correct Answer: A,B,C,D,F,G
Rationale: The correct answer includes statements A, B, C, D, F, and G. A: Using a mild detergent is important to prevent skin irritation. B: Applying gloves can protect the hands from further damage. C: Cutting and filing fingernails prevent scratching and infection. D: Emollients after bathing help maintain skin moisture. F: Mentioning that the condition is contagious when lesions are present helps prevent spread. G: Informing about occasional flare-ups prepares the guardian for future management. These instructions aim to promote hygiene, prevent exacerbations, and manage the child's condition effectively.