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: The correct answer is D: Obtain informed consent. This is the first step the nurse should take before any medical procedure to ensure the patient understands the procedure, risks, and gives permission. A: Preparing the child for endoscopy, B: Encouraging parents to inspect toys, and C: Monitoring for gag reflex are all important steps but not the first priority. A thorough explanation of the procedure and obtaining consent must precede any action to ensure patient autonomy and safety.
Extract:
Question 2 of 5
A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,B,E
Rationale: A: Monitoring oxygen saturation assesses respiratory status due to potential airway obstruction. B: Droplet precautions prevent transmission of Haemophilus influenzae type B. E: IV access is needed for fluids and medications in emergency interventions.
Extract:
A nurse is caring for a 1-year-old child who has been hospitalized.
Question 3 of 5
Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: D
Rationale: The correct answer is D: Bedside computer keyboard. This is because items such as computer keyboards in a child's room can harbor harmful bacteria and viruses that can be transmitted to the child, caregivers, or healthcare providers, leading to healthcare-associated infections. Keyboards are frequently touched and are often overlooked when it comes to cleaning and disinfection, making them a common source of infections. The other choices (A, B, and
C) are less likely to be sources of healthcare-associated infections in a child's room as disposable diapers, protective gowns, and unopened formula bottles are typically designed to maintain hygiene and are not directly involved in transmitting infections like a contaminated keyboard.
Extract:
Question 4 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Discard the first voided specimen. This is because the first voided specimen may contain residual urine from the bladder that has been sitting for an extended period, which could skew the results of the 24-hour urine collection. By discarding the first voided specimen, the nurse ensures that the collection accurately represents the urine produced over the 24-hour period.
Choice A is incorrect because there is no need to cleanse the perineum with a povidone-iodine solution prior to voiding for a 24-hour urine collection.
Choice B is incorrect because all urine collected during the 24 hours should be stored in the same container to accurately measure the total output.
Choice D is incorrect because voiding every hour would not result in an accurate 24-hour collection.
Extract:
A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Instruct the child to change position. This action helps prevent complications such as clotting or kinking of the catheter during peritoneal dialysis. Changing positions can improve fluid flow and ensure proper dialysis efficiency. Increasing dwell time (choice
A) may lead to complications. Increasing oral fluid intake (choice
C) is important but not the immediate action needed. Assessing for a bruit (choice
D) is not relevant to peritoneal dialysis.