ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Question 1 of 5
A nurse is teaching the guardian of a toddler about discipline. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A. Reasoning and explaining are effective for toddlers to learn appropriate behavior. B. Ignoring tantrums may confuse the child. C. One warning may not suffice for understanding. D. Past misbehavior focus isn’t effective due to short attention spans.
Extract:
Adolescent with major depressive disorder
Question 2 of 5
A nurse is caring for an adolescent who has major depressive disorder. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale:
Correct Answer: D. Assessing suicide risk is the priority in depression due to safety concerns. A. Medication is secondary. B. Therapy is beneficial but not first. C. ADLs can wait after safety is ensured.
Extract:
Nurses notes 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter.
Question 3 of 5
The child is at risk for developing ___ and ___.
Correct Answer: A,B
Rationale:
Correct Answer: Dropdown Group 1: pyelonephritis, Dropdown Group 2: renal scarring. Given the clinical presentation and the context, the most appropriate words to fill in the blanks are 'pyelonephritis' and 'renal scarring.'
Rationale: 1. Pyelonephritis: The child presents with a fever and lethargy, which are common signs of a urinary tract infection (UTI). The use of a sterile straight catheter to obtain a urine sample suggests that the healthcare provider is investigating a potential UTI, which in children can progress to pyelonephritis if not promptly treated. 2. Renal scarring: If pyelonephritis occurs, it can lead to renal scarring, especially in young children. Early diagnosis and treatment of UTIs are crucial to prevent renal scarring.
Extract:
15-year-old adolescent admitted for a vaso-occlusive crisis. Parent reports low-grade fever and vomiting for 3 days. Adolescent reports right-sided and low back pain, painful swollen hands and right knee, pain 8/10. Vital Signs: Temperature 37.8° C (100° F), Heart rate 100/min, Blood pressure 110/72 mm Hg, Respiratory rate 20/min, Oxygen saturation 95%. Assessment: Yellow sclera, tender right upper quadrant, swollen painful hands and knee. Labs: Hct 28%, Hgb 6 g/dL, WBC 20,000/mm3, ALT 50 units/L, AST 62 units/L, Total bilirubin 3.0 mg/dL. Chest X-ray: cardiomegaly, systolic flow murmur
Question 4 of 5
The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.
Correct Answer: B,D,E,G
Rationale: B. Bed rest reduces oxygen demand. D. Vaccine prevents infection, critical in sickle cell. E. Folic acid aids anemia. G. Oxygen monitoring detects compromise. A. Cold worsens pain; use warmth. C. Hydroxyurea prevents, doesn't treat acute crisis. F. Meperidine is avoided; use morphine.
Extract:
Child receiving peritoneal dialysis with minimal dialysate outflow
Question 5 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: Changing position may reposition the catheter, improving outflow. A. Fluid intake doesn't fix outflow. B. Longer dwell doesn't address obstruction. D. Bruit isn't relevant here.