ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. Which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: A,B,E
Rationale: The correct laboratory tests to confirm rheumatic fever are A: C-reactive protein (CRP), B: Antistreptolysin O (ASO) titer, and E: Erythrocyte sedimentation rate (ESR).
1. CRP is an acute-phase reactant that increases in response to inflammation, which is characteristic of rheumatic fever.
2. ASO titer measures antibodies against streptococcal bacteria, helping to confirm a recent streptococcal infection, a precursor to rheumatic fever.
3. ESR is a non-specific marker of inflammation and can be elevated in rheumatic fever due to the inflammatory process.
Choices C, D, F, and G are incorrect:
C: Partial thromboplastin time (PTT) is not specific for rheumatic fever.
D: Blood urea nitrogen (BUN) is not relevant to diagnosing rheumatic fever.
F and G: The other choices are not provided
Extract:
A nurse is preparing a child for a lumbar puncture.
Question 2 of 5
In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: The correct answer is B: Lateral. Placing the child in a lateral position is ideal for the procedure as it allows for easy access to the targeted area while providing stability and comfort. Lateral positioning also minimizes the risk of injury and maximizes the effectiveness of the procedure.
A: Semi-Fowler's position is not suitable as it may not provide adequate access or stability.
C: Supine position is not ideal for certain procedures that require a lateral approach.
D: Prone position is not appropriate as it does not allow for proper access or visibility of the target area.
Extract:
Question 3 of 5
A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will ensure that my child is tested for tuberculosis every year." This statement indicates understanding because HIV-positive individuals are at higher risk for developing tuberculosis due to their compromised immune system. Annual testing is crucial for early detection and treatment.
Choice A is incorrect because zidovudine does not directly decrease the risk of transmission, but rather helps manage HIV.
Choice B is incorrect as childhood immunizations do not need to be repeated in remission unless specifically recommended by a healthcare provider.
Choice D is incorrect as there is no indication to double medications for the next 6 months.
Extract:
A nurse is assessing a school-age child who has heart failure and is taking furosemide.
Question 4 of 5
Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: B
Rationale: The correct answer is B: A decrease in peripheral edema. This indicates that the medication is effective in reducing fluid accumulation in the tissues, which can be a sign of improved heart function. Peripheral edema is often a symptom of heart failure or other cardiovascular conditions, so a decrease in edema suggests that the medication is helping to improve cardiac output and reduce fluid retention. Increased potassium levels (choice
A) may indicate a medication side effect or imbalance rather than effectiveness. Decrease in cardiac output (choice
C) and increase in venous pressure (choice
D) are not indicators of medication effectiveness but rather signs of worsening heart function.
Extract:
Question 5 of 5
A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Rounded abdomen. Necrotizing enterocolitis (NE
C) is characterized by abdominal distention due to gas and fluid accumulation in the bowel wall. This results in a rounded abdomen appearance. Hypertension (
A) is not typically associated with NEC. Vomiting (
C) is a common symptom in infants but not specific to NEC. Tachypnea (
D) may occur due to sepsis or respiratory distress, but it is not a hallmark finding of NEC.