ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A six-year old with Glomerulonephritis with blood and urine samples sent to the laboratory.
Question 1 of 5
A six-year old with Glomerulonephritis has had blood and urine samples sent to the laboratory. Which of the following results are expected findings?
Correct Answer: D
Rationale: The correct answer is D. In Glomerulonephritis, there is kidney inflammation leading to impaired filtration function. Elevated BUN and Creatinine indicate impaired kidney function. Urine specific gravity of 1.030 suggests concentrated urine due to impaired kidney's ability to dilute it. Positive ASO titer indicates a recent streptococcal infection, which can trigger Glomerulonephritis. Hematuria and proteinuria are common in Glomerulonephritis. Decreased H & H and platelet count are not typical findings in Glomerulonephritis.
Choices A, B, and C have incorrect combinations of expected findings for Glomerulonephritis.
Extract:
A 1-month-old infant with a new ventriculoperitoneal shunt.
Question 2 of 5
The nurse is assessing a 1-month-old infant with a new ventriculoperitoneal shunt. Which of the following signs and symptoms in this infant is concerning for increased intracranial pressure? SELECT ALL THAT APPLY
Correct Answer: A,B,E
Rationale: The correct answers are A, B, and E. Vomiting, poor feeding, and irritability in a 1-month-old infant with a new ventriculoperitoneal shunt are concerning signs of increased intracranial pressure. Vomiting can indicate pressure on the brainstem, affecting the vomiting center. Poor feeding may result from increased pressure impacting the hypothalamus, affecting hunger cues. Irritability can be a sign of discomfort due to increased pressure. Weak cry (choice
C) and sunken fontanels (choice
D) are not typical signs of increased intracranial pressure in this context.
Extract:
A 4-year-old female child scheduled for the repair of a Ventricular Septal Defect (VSD).
Question 3 of 5
The nurse is caring for a 4-year-old female child who is scheduled for the repair of a Ventricular Septal Defect (VSD). Which of the following nursing interventions is MOST appropriate when preparing this child for surgery?
Correct Answer: C
Rationale: The correct answer is C because using a doll with a sternal incision and dressing to explain post-surgical care is developmentally appropriate for a 4-year-old. It helps the child understand what will happen after surgery and promotes coping.
Choice A might be too complex for a young child.
Choice B could be overwhelming or frightening.
Choice D is inappropriate as it may lead to increased anxiety and confusion for the child.
Extract:
A child starting antibiotic therapy for bacterial conjunctivitis.
Question 4 of 5
A child is starting antibiotic therapy for bacterial conjunctivitis. The parents ask when the child may return to daycare. The nurse's BEST response would be which of the following?
Correct Answer: B
Rationale: The correct answer is B: Your child can return after 24 to 48 hours of antibiotic use, depending on your school. Antibiotics for bacterial conjunctivitis are usually effective within 24-48 hours. The child becomes non-contagious after starting treatment, hence it is safe to return to daycare. Requiring completion of the full course of antibiotics (
Choice
D) is unnecessary for the purposes of preventing spread.
Choices A and C do not consider the effectiveness of the antibiotics in reducing contagion.
Extract:
A child suspected to have suffered child abuse.
Question 5 of 5
The nurse is assessing a child who is suspected to have suffered child abuse. Which of the following statements demonstrate therapeutic communication when interacting with the child?
Correct Answer: D
Rationale:
Correct
Answer: D
Rationale:
Choice D demonstrates therapeutic communication by providing reassurance and support to the child, emphasizing that they are not to blame for the abuse. This empowers the child and helps build trust.
Choices A and B can be intimidating and may pressure the child to disclose information.
Choice C places blame on the mother, which is not therapeutic and may further traumatize the child.