ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
Provider Prescriptions: Pancrelipase 8,000 units PO with each meal and snack, Chest physiotherapy three times daily; Diagnostic Results: HbA1c 8.5% (4% to 5.9%), Hgb 13.5 mg/dL (10 to 15.5 g/dL), Hct 39% (32% to 44%), WBC count 9,600/mm3 (5,000 to 10,000/mm3)
Question 1 of 5
A nurse is reviewing the medical record of a school-age child who has cystic fibrosis. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: HbA1c of 8.5% is elevated, indicating poor glycemic control and possible cystic fibrosis-related diabetes, requiring provider attention. Heart rate and oxygen saturation data are absent, and WBC count is normal.
Extract:
A nurse is assessing a child who has bacterial pneumonia.
Question 2 of 5
Which of the following findings should the nurse identify as a potential risk for aspiration?
Correct Answer: B
Rationale: Neurological deficits impair swallowing, increasing aspiration risk.
Extract:
A nurse is caring for a child who is to receive the first dose of IV gentamicin.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Monitoring I&O assesses kidney function due to gentamicin's nephrotoxicity risk.
Extract:
Flow Sheet Day 1, 1030: Temperature 38.7° C (101.7° F), Heart rate 114/min, Respiratory rate 26/min, Blood pressure 114/80 mm Hg, SpO2 97% on room air, Height 122 cm (48 in), Weight 29 kg (64 lb); Provider Prescriptions Day 1, 1020: Admit directly to pediatric unit, Keep child NPO, Obtain comprehensive metabolic panel and blood cultures STAT, Vital signs every 30 min, then every hr x 4, then every 4 hr; Diagnostic Results Day 1, 1040: Potassium 3.8 mEq/L (3.4 to 4.7 mEq/L), Hemoglobin 9.5 g/dL (10 to 15.5 g/dL), Hematocrit 30% (32% to 44%), RBC count 4.2 x 10°/μL (4.0 to 5.5 x 10/μL), WBC count 14,000 mm3 (5,000 to 10,000 mm3), Platelets 350,000/mm3 (150,000 to 400,000/mm3), Glucose 90 mg/dL (< 200 mg/dL), Blood cultures pending; Nurses' Notes Day 1, 1020: Child is a direct admit from a pediatric clinic with fever, chills, irritability for 2 days, prior URI 2 weeks ago, no prior conditions, fully immunized. 1030: Child reports nausea, headache (7/10), lethargic, nuchal rigidity, petechiae on face and trunk.
Question 4 of 5
A nurse is admitting an 8-year-old child to the pediatric unit. For each potential condition, click to specify if the child's assessment findings are consistent with Hodgkin Lymphoma, Bacterial Meningitis, or Acute Lymphoblastic Leukemia (ALL).
| Pain |
| Lymph nodes |
| Skin |
| Neurologic |
Correct Answer: A: Pain - Bacterial Meningitis, B: Lymph nodes - Hodgkin Lymphoma, C: Skin - Bacterial Meningitis & ALL, D: Neurologic - Bacterial Meningitis
Rationale: Bacterial Meningitis matches fever, nuchal rigidity, petechiae, and neurologic symptoms. Hodgkin Lymphoma and ALL less likely given acute presentation.
Extract:
Nurses' Notes Day 1, 1020: Child is a direct admit from a pediatric clinic with fever, chills, irritability for 2 days, prior URI 2 weeks ago, no prior conditions, fully immunized. 1030: Child reports nausea, headache (7/10), lethargic, nuchal rigidity, cervical lymph slightly enlarged, capillary refill 4 seconds.
Question 5 of 5
A nurse is admitting an 8-year-old child to the pediatric unit. The nurse suspects the child has bacterial meningitis. Select words from the choices to fill in each blank in the following sentence: The child is at greatest risk for developing ___ and ___.
Correct Answer: A
Rationale: DIC (due to petechiae and sepsis risk) and hydrocephalus (due to CSF obstruction from meningitis) are significant risks.