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 pertussis
Question 2 of 5
A nurse is caring for a school-age child who has pertussis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is to report the diagnosis to the public health department (choice
C) because pertussis is a communicable disease that requires public health monitoring to prevent outbreaks. Placing the child in a protected environment (choice
A) is not necessary as pertussis is spread through respiratory droplets, not airborne transmission. Administering the pertussis vaccine (choice
B) is a preventive measure, not a treatment for an active infection. Restricting oral fluids (choice
D) is not recommended as proper hydration is important for managing pertussis symptoms.
Extract:
Toddler who weighs 12 kg (26.5 lb) postoperative following open-heart surgery
Question 3 of 5
A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 lb) and is postoperative following open-heart surgery. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Urine output of 15 mL in the last 2 hr. In a postoperative pediatric patient, a low urine output can indicate inadequate renal perfusion, which could be a sign of decreased cardiac output or dehydration. This finding is crucial to report to the provider as it may indicate a need for intervention to optimize the patient's fluid status and cardiac function.
The other choices are incorrect because:
B: Pedal and posterior tibial pulses of 2+ indicate adequate peripheral perfusion.
C: Skin temperature of 36°C is within the normal range for pediatric patients.
D: Drainage from the chest tube of 22 mL in the last hour is expected postoperatively and does not indicate an immediate concern.
In summary, the low urine output is the most critical finding that requires immediate attention to ensure the toddler's optimal recovery and well-being.
Extract:
5-year-old child who has nephrotic syndrome who weighs 12 kg (26.5 lb) postoperative following open-heart surgery
Question 4 of 5
A nurse is caring for a 5-year-old child who has nephrotic syndrome who weighs 12 kg (26.5 lb) and is postoperative following open-heart surgery. Which of the following findings suggests that the management has been effective?
Correct Answer: B
Rationale: The correct answer is B: Urine output 256 mL over 8 hr. In nephrotic syndrome and postoperative open-heart surgery, monitoring urine output is crucial to assess kidney function and fluid balance. A urine output of 256 mL over 8 hours indicates adequate kidney perfusion and function, suggesting effective management.
A: Temperature within normal range does not directly indicate effectiveness of management.
C: No pain with voiding is important but does not specifically indicate effectiveness of management for nephrotic syndrome or postoperative care.
D: Odorless urine is a good sign but does not directly reflect the effectiveness of managing nephrotic syndrome or postoperative care.
Extract:
Question 5 of 5
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax. Which of the following oils should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Lavender. Lavender oil is known for its calming and relaxing properties, making it suitable for children to help with relaxation. It is gentle and safe to use, promoting a sense of calmness. Tea tree (
A) and eucalyptus (
B) oils are more commonly used for their antiseptic and respiratory benefits, not specifically for relaxation. Jasmine (
D) oil is known for its uplifting and floral scent, which may not be as soothing for relaxation compared to lavender.