ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Nurses' Notes 0700: 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.
Question 1 of 5
For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
Correct Answer: A: Anticipated, B: Contraindicated, C: Anticipated, D: Contraindicated, E: Contraindicated
Rationale: A. Anticipated: Effective antibiotic for UTIs. B. Contraindicated: Salicylic acid risks Reye’s syndrome in children. C. Anticipated: Hygiene prevents recurrent UTIs. D. Contraindicated: Sunscreen isn’t UTI-related. E. Contraindicated: Fluid restriction worsens UTIs; hydration is key.
Extract:
4-year-old child receiving treatment for acute lymphoblastic leukemia
Question 2 of 5
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: C
Rationale: C. RBC count within normal range (4-5.5/mm³) suggests stable red cell production, a positive sign. A. Low hemoglobin indicates anemia, not improvement. B. Elevated WBC suggests active disease or infection. D. Low platelets show ongoing thrombocytopenia, not a therapeutic effect.
Extract:
Preschooler with neutropenia
Question 3 of 5
A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Raw produce risks infection in neutropenia; avoiding it is key. B. Daily bathing prevents infection. C. Rectal temperatures risk bacterial entry. D. Vaccines, especially live ones, are contraindicated.
Extract:
5-year-old male 18 kg (39.7 lb) admitted following a motor-vehicle crash. Surgical procedure: L leg open reduction and fixation, L arm closed reduction and fixation. Vital Signs: Pulse rate 68/min, Respiratory rate 12/min, Blood pressure 80/42 mm Hg, Temperature 38.6° C (101.5° F), Oxygen saturation 91%. Medications: 0.9% sodium chloride IV at 100 mL/hr, Morphine 0.5 mg/hr IV, Acetaminophen 200 mg PO every 4 hr PRN for temperature >38° C
Question 4 of 5
A nurse is caring for a child who is 2 hr postoperative. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Comparing pedal pulses assesses circulation post-orthopedic surgery, the priority to detect complications like compartment syndrome. B. Sedation is secondary. C. Pain assessment follows circulation check. D. Temperature is less urgent.
Extract:
History and Physical A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10.
Question 5 of 5
Select the 5 interventions the nurse should include.
Correct Answer: A,B,E,H
Rationale:
Correct Answer: A,B,E,H. A. Folic acid is important for patients with sickle cell disease because it helps produce new red blood cells. B. Continuous monitoring of oxygen saturation is crucial because hypoxia can exacerbate sickling of red blood cells. E. Patients with sickle cell disease are at increased risk for infections, including pneumococcal infections, due to functional asplenia. H. Hydroxyurea increases fetal hemoglobin production, reducing the frequency of vaso-occlusive crises. Interventions to avoid: C. Cold can cause vasoconstriction, worsening pain. D. Hydration is crucial; restricting intake could worsen the crisis. F. Strict bed rest increases the risk of complications like thrombosis. G. Meperidine is not recommended due to side effects like respiratory depression.