ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Nurses' Notes (0700 hrs): 7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor. The child appears uncomfortable and is frequently shifting positions in bed. The client has been crying intermittently and is reluctant to drink fluids. The guardian mentions that the child has been more irritable and has a decreased appetite. The child has a history of recurrent UTIs, with the last episode occurring 6 months ago; Vital Signs (0715 hrs): Heart rate: 80/min, Temperature: 38°C (100.4°F), Respiratory rate: 22/min, Blood pressure: 106/65 mm Hg; A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI) in the pediatric unit.
Question 1 of 5
For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Finding | Anticipated | Contraindicated |
|---|---|---|
| Advise child's guardian about the use of sunscreen | ||
| Educate the child about proper perineal hygiene | ||
| Administer salicylic acid for pain and fever | ||
| Ensure the child receives a maximum of 1,200 mL/day of fluid | ||
| Administer sulfamethoxazole and trimethoprim |
Correct Answer: B,E
Rationale: Advise child's guardian about the use of sunscreen: This intervention is contraindicated as it is not relevant to the child's current condition of a UTI. Educate the child about proper perineal hygiene: This intervention is anticipated as proper perineal hygiene is crucial in preventing recurrent UTIs. Administer salicylic acid for pain and fever: This intervention is contraindicated as salicylic acid is not typically used for pain and fever management in children with UTIs. Acetaminophen or ibuprofen is more appropriate. Ensure the child receives a maximum of 1,200 mL/day of fluid: This intervention is contraindicated as adequate fluid intake is essential for flushing out bacteria from the urinary tract. Restricting fluids is not appropriate. Administer sulfamethoxazole and trimethoprim: This intervention is anticipated as sulfamethoxazole and trimethoprim are commonly prescribed antibiotics for treating UTIs in children.
Extract:
A nurse is caring for a client.
Question 2 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.
Extract:
A nurse is planning care for a child who has varicella.
Question 3 of 5
Which of the following interventions should the nurse plan to include?
Correct Answer: D
Rationale: Koplik spots are for measles, not varicella. Aspirin risks Reye's syndrome. A blanket aids comfort but isn't specific. Airborne precautions prevent varicella's spread via droplets.
Extract:
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff.
Question 4 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 preparing a child for a lumbar puncture.
Question 5 of 5
In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: Semi-Fowler's and supine don't allow spinal flexion. Prone restricts lumbar access. Lateral positioning aligns the spine for safe puncture.