ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
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, capillary refill 4 seconds.
Question 1 of 5
A pediatrician has evaluated the child and has written new prescriptions. The nurse is preparing to assist with a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,D,E,G
Rationale: Correct answer: A, D, E, G
A: Apply pressure to the puncture site following the procedure - This is important to prevent bleeding and promote clotting.
D: Ensure the guardian has signed the consent form prior to the procedure - This is a legal and ethical requirement to ensure informed consent.
E: Ensure the child voids prior to the procedure - This helps reduce the risk of post-procedure urinary retention.
G: Monitor for paresthesia and tingling in extremities following the procedure - This is important to assess for potential nerve damage or complications.
Incorrect choices:
B: Limit the child's fluid intake following the procedure - There is no need to limit fluid intake post-lumbar puncture.
C: Position the child in a prone position during the procedure - The child should be in a lateral decubitus position for a lumbar puncture.
F: Insert an indwelling urinary catheter during the procedure - There is no indication for inserting a catheter
Extract:
A nurse is reviewing the laboratory results of a school-age child who has glomerulonephritis.
Question 2 of 5
Which of the following laboratory findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Mild hematuria. This finding is expected in conditions like urinary tract infection or kidney stones, which can cause blood in the urine. Hyponatremia (
B) is low sodium in the blood, not a typical lab finding in these conditions. Absent urine protein (
C) is not commonly associated with urinary tract issues. Decreased blood potassium (
D) is more indicative of conditions like renal failure or certain medications. Hematuria is the most likely finding in this scenario, making it the correct choice.
Extract:
A nurse is teaching the guardians of a school-age child who has cystic fibrosis about dietary needs.
Question 3 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Offer your child foods that are high in fat." This is because children require essential fatty acids for brain development and overall growth. Fat is a concentrated source of energy and aids in the absorption of fat-soluble vitamins. It is important for healthy cell function and hormone production.
Choices A, C, and D are incorrect because low-calorie, high vitamin C, and low-protein foods may not provide adequate nutrition for a growing child. Offering foods high in fat, but choosing healthy fats like avocados, nuts, and seeds, can support a child's overall health and development.
Extract:
A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden unexpected infant death syndrome (SUIDS).
Question 4 of 5
Which of the following statements by the parents indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will dress my baby in lightweight clothing to sleep." This statement reflects an understanding of the teaching because dressing the baby in lightweight clothing helps prevent overheating during sleep, reducing the risk of Sudden Infant Death Syndrome (SIDS). It shows awareness of the importance of regulating the baby's body temperature while sleeping.
Other choices are incorrect:
A: Laying the baby on their side for naps is not recommended as it increases the risk of SIDS.
C: Having the baby sleep next to the parents in bed increases the risk of accidental suffocation or overlaying.
D: Moving the baby's stuffed animal to the corner of the crib is not related to safe sleep practices.
Extract:
A nurse is teaching an adolescent how to manage his cystic fibrosis.
Question 5 of 5
Which of the following statements by the adolescent indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will increase my intake of vitamin D." This statement indicates an understanding of the teaching because it shows that the adolescent recognizes the importance of vitamin D for their health. Vitamin D is essential for bone health and overall well-being, especially during adolescence when bone growth is crucial. Increasing intake of vitamin D aligns with the teaching to support their health.
Choice A is incorrect because being excused from physical education class does not demonstrate an understanding of the teaching about health.
Choice C is incorrect as limiting calcium intake can actually increase the risk of kidney stones.
Choice D is incorrect as taking fewer enzymes when eating high-fat foods goes against the teaching of managing fat digestion.