ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Preschool-age child with sleep terrors
Question 1 of 5
A nurse is teaching a parent of a preschool-age child about management of sleep terrors. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Remain uninvolved until the child awakens. During sleep terrors, the child is not fully awake and may become agitated if disturbed. Interfering can prolong the episode. Other choices are incorrect because B can reinforce the behavior, C may not be necessary for all cases, and D can disrupt sleep hygiene.
Extract:
Child in the acute stage of nephrotic syndrome
Question 2 of 5
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Weigh the child once per day. In nephrotic syndrome, monitoring daily weight is crucial as it reflects fluid retention or loss, a key indicator of disease progression. Weight gain may indicate edema, while weight loss may indicate dehydration. This intervention helps assess the effectiveness of treatment and guides adjustments to fluid and medication management. Increasing fluid intake (
A) is not recommended as the child may already have fluid retention. Positioning the child supine at bedtime (
C) is unnecessary and may not be comfortable for the child. Limiting calorie intake (
D) is not the priority in the acute stage; maintaining adequate nutrition is important.
Extract:
Group of clients on a pediatric unit
Question 3 of 5
A nurse is caring for a group of clients on a pediatric unit. Which of the following clients is most at risk for insufficient vascular perfusion?
Correct Answer: B
Rationale: The correct answer is B: A school-age child who is in a spica cast. A spica cast can cause constriction on blood vessels leading to compromised vascular perfusion. The weight and pressure from the cast can impede blood flow, increasing the risk of insufficient vascular perfusion. In contrast, choices A, C, and D do not directly impact vascular perfusion. A child receiving IV fluids (
A) is actually receiving hydration support, an adolescent with a urinary tract infection (
C) may have systemic issues but not directly related to vascular perfusion, and a preschooler with otitis media (
D) has an ear infection which does not affect vascular perfusion. This makes choice B the most at risk for insufficient vascular perfusion.
Extract:
Child 2 hr postoperative following a cardiac catheterization with dressing saturated with blood
Question 4 of 5
A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Apply pressure just above the insertion site. This is the first step because it helps control the bleeding and prevent further blood loss. By applying pressure, the nurse can help stabilize the child's condition before taking further actions.
B: Monitoring the pulse distal to the insertion site is important but not the first priority. Controlling the bleeding should come first.
C: Obtaining vital signs is important, but addressing the bleeding takes precedence to ensure the child's safety.
D: Reinforcing the dressing can be done after applying pressure to control the bleeding.
In summary, applying pressure above the insertion site is the immediate priority to address the saturated dressing and control bleeding.
Extract:
Infant with heart failure who vomited after digoxin
Question 5 of 5
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the next dose as prescribed. In this scenario, the infant vomited after receiving digoxin, which is a common side effect of the medication. However, it does not mean that the dose was not absorbed. Re-administering the dose ensures that the infant receives the necessary medication for heart failure. Mixing the medication with formula (
B) may alter its absorption. Giving an antiemetic (
C) is not necessary unless vomiting persists. Increasing fluid intake (
D) is not directly related to addressing the vomiting after digoxin administration.