ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Nurses' Notes (0700 hrs): Received the child awake, alert, and crying. Parent states that the child was playing with a remote control toy and when the parent heard the child crying, they noticed that a battery was missing from the toy. The parent states that the child was drooling more than usual and witnessed them gagging periodically. Child is lying on the parent's chest with eyes open and requesting a ‘sippy cup'. Continues to have expiratory wheezing in bilateral upper lobes. Preparing the child for diagnostic testing; Vital Signs (0700 hrs): Heart rate: 90/min, Blood pressure: 88/45 mm Hg, Respiratory rate: 30/min, Oxygen saturation: 96%, Axillary temperature: 36.9° C (98.4° F); Diagnostic Results (0730 hrs): X-ray of the neck, chest, and abdomen completed. Biplane radiographic study identifies an object in the esophagus. No foreign objects visualized in the chest or abdomen; Provider's Prescriptions (0745 hrs): Keep the child NPO, Prepare the child for flexible endoscopy, Obtain informed consent from the parents, Monitor the child closely for return of gag reflex; A nurse in the emergency department is caring for a toddler.
Question 1 of 5
Complete the following sentence by using the list of options. The nurse should first:
Correct Answer: D
Rationale: Preparing the child for flexible endoscopy is a necessary step to remove the foreign object from the esophagus. However, before any procedure can be performed, it is essential to obtain informed consent from the parents. Encouraging the parents to inspect toys for easily removable parts is an important preventive measure but not the immediate priority. Monitoring the child closely for the return of the gag reflex is relevant post-procedure. Obtaining informed consent is the first priority to ensure the parents are fully informed and have given permission for the procedure.
Extract:
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Restraint prescriptions need renewal every 24 hours. Tying to side rails risks injury; use the bed frame. Quick-release knots ensure safety. Assessments should occur every 2 hours, not 4, for safety.
Extract:
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia.
Question 3 of 5
Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: B
Rationale: Low hemoglobin indicates anemia, not improvement. A normal RBC count suggests treatment is stabilizing red cell production, indicating a therapeutic effect. Elevated WBC may reflect disease activity or infection, not necessarily success. Low platelets suggest ongoing issues, not improvement.
Extract:
A nurse is assessing an 18-month-old toddler during a well-child visit.
Question 4 of 5
Which of the following findings should the nurse identify as a potential developmental delay?
Correct Answer: B
Rationale: Parallel play, 10 words, and 3-block towers are normal at 18 months. Walking with assistance suggests delay, as independent walking is expected by this age.
Extract:
A nurse is caring for a client.
Question 5 of 5
Which action demonstrates effective collaboration?
Correct Answer: B
Rationale: Independent action lacks collaboration. Seeking guidance from a specialist like a wound care nurse leverages expertise, enhancing care. Delegating to another nurse may not ensure specialized input. Consulting only family excludes professional input, limiting collaboration.