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: The correct answer is: A: Anticipated, B: Contraindicated, C: Anticipated, D: Contraindicated, E: Contraindicated.
Rationale:
A: Administering sulfamethoxazole and trimethoprim is anticipated as it is a common antibiotic for treating infections.
B: Salicylic acid is contraindicated for pain and fever in children due to the risk of Reye's syndrome.
C: Educating the child about proper perineal hygiene is anticipated to prevent infections.
D: Advising about sunscreen use is contraindicated as salicylic acid increases sensitivity to sunlight.
E: Restricting fluid intake to 1,200 mL/day is contraindicated as it may lead to dehydration in children.
Summary:
Choices A and C are correct due to their benefits for the client.
Choices B, D, and E are incorrect due to potential risks or
Extract:
School-age child with diabetes mellitus
Question 2 of 5
A nurse is caring for a school-age child who has diabetes mellitus. Which of the following findings should the nurse recognize as being consistent with hyperglycemia?
Correct Answer: C
Rationale: The correct answer is C: Thirst. Hyperglycemia in a child with diabetes mellitus leads to increased blood sugar levels, causing the body to try to dilute the excess sugar by increasing urine output, leading to dehydration and thirst. Tremors (
A) are more indicative of hypoglycemia. Pallor (
B) is associated with anemia or decreased blood flow. Sweating (
D) is not typically a direct symptom of hyperglyzemia.
Extract:
2-year-old child
Question 3 of 5
A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Frequent negative responses.
Toddlers often exhibit frequent negative responses as they are exploring boundaries and asserting independence. This behavior is a common part of toddler development as they learn to express their emotions and preferences. Increased dependency (
A) is not typically seen in toddlers, as they are striving for autonomy. Less emotionally labile (
B) suggests stability in emotions, which is not characteristic of toddler behavior.
Toddlers thrive on routines, so they are not usually resistant to routines (
C).
Extract:
4-month-old infant
Question 4 of 5
A nurse is preparing to collect a capillary blood specimen from the heel of a 4-month-old infant. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Puncture the outer aspect of the heel. This is the correct action because the outer aspect of the heel has better blood flow and is less painful for the infant. Puncturing the inner aspect can lead to injury of the medial and lateral plantar arteries and nerves. Wiping the site with alcohol after the puncture (choice
A) can introduce contaminants, increasing the risk of infection. Applying a cool pack (choice
C) can vasoconstrict blood vessels, making it harder to collect the specimen. Using a surgical blade (choice
D) is unnecessary and increases the risk of injury.
Extract:
Preschooler who had a tonsillectomy
Question 5 of 5
A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Notify the provider if your child is swallowing frequently. This is important because frequent swallowing may indicate bleeding post-tonsillectomy, which requires immediate medical attention.
Choice A is incorrect as using a straw can increase the risk of bleeding.
Choice C is incorrect as throat clearing can also disrupt the healing process.
Choice D is incorrect as dark brown blood between teeth is a sign of dried blood from previous bleeding, not active bleeding.