ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
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: B,C,D
Rationale: A. Partial thromboplastin time (PTT) is not typically used in the diagnosis of rheumatic fever. B. C-reactive protein (CRP) is elevated in cases of inflammation and can help confirm the diagnosis of rheumatic fever. C. Erythrocyte sedimentation rate (ESR) is another marker of inflammation that can be elevated in rheumatic fever. D. Antistreptolysin O (ASO) titer measures antibodies against streptolysin O produced by Group A Streptococcus, which can indicate recent streptococcal infection, contributing to the diagnosis of rheumatic fever. E. Blood urea nitrogen (BUN) is not directly related to the diagnosis of rheumatic fever.
Question 2 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Offering a prize for not crying may inadvertently reinforce crying as an expectation. This statement is not accurate because the medicine might not fix the problem or make the child feel better immediately. Assuring the child that they will only feel a little stick is not honest because the injection might hurt more than a little stick, and lying to the child can damage the trust between the nurse and the child. Allowing the child to choose the injection site allows the child to have some control and autonomy over the situation, which can reduce anxiety and fear.
Question 3 of 5
A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: Placing the child prone (face down) is not appropriate for a lumbar puncture. Placing the child in a lateral position (lying on their side) with knees flexed is the correct position for a lumbar puncture as it allows for optimal access to the lumbar area. Placing the child supine (on their back) is not ideal for a lumbar puncture as it does not provide the necessary access to the lumbar area. Placing the child in semi-Fowler's position (lying on their back with the head of the bed elevated) is not typically used for lumbar puncture procedures.
Question 4 of 5
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: A normal temperature does not specifically indicate the effectiveness of treatment for acute poststreptococcal glomerulonephritis. Pain with voiding is not typically associated with this condition and therefore does not indicate treatment effectiveness. Clear urine indicates that the kidneys are effectively filtering waste and fluid, suggesting treatment effectiveness. Odorless urine is a normal characteristic and does not specifically indicate treatment effectiveness.
Question 5 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: C
Rationale: Checking the newborn's eyes every 8 hours is not necessary for the management of hyperbilirubinemia or phototherapy. Placing mittens on the newborn's hands is unrelated to the management of hyperbilirubinemia or phototherapy. Monitoring the newborn's temperature every 2 hours is essential during phototherapy because infants are at risk of hypothermia due to increased heat loss from the lights. Applying lotion to the newborn's skin is not recommended during phototherapy as it can interfere with the effectiveness of the lights.