ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Toddler who weighs 12 kg (26.5 lb) postoperative following open-heart surgery
Question 1 of 5
A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 lb) and is postoperative following open-heart surgery. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale:
Correct Answer: A. Urine output <1 mL/kg/hr (12 mL/hr for 12 kg) suggests renal issues post-surgery. B. 2+ pulses are normal. C. 36°C is low but not critical alone. D. 22 mL chest drainage isn’t excessive.
Extract:
Adolescent scheduled for a cardiac catheterization, guardian states, 'I don't understand why they need to do this procedure.'
Question 2 of 5
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The guardian states, 'I don't understand why they need to do this procedure.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The provider can best explain the procedure's necessity, ensuring informed consent. A. Witnessing doesn't address understanding. C. Anesthesiologist isn't the primary explainer. D. Nurses shouldn't give medical explanations beyond their scope.
Extract:
Adolescent with major depressive disorder
Question 3 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:
Child with sickle cell anemia
Question 4 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: A
Rationale: Facial twitching may signal a stroke, a critical sickle cell complication requiring immediate reporting. B. Kyphosis is chronic, not urgent. C. Enuresis is common, not priority. D. Constipation is manageable, not critical.
Extract:
1-week-old newborn with hyperbilirubinemia treated with phototherapy
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: A
Rationale: Phototherapy can overheat the newborn; monitoring temperature every 2 hours prevents hyperthermia. B. Mittens aren't related to phototherapy. C. Lotion interferes with treatment. D. Eye checks should be every 4 hours for irritation.