ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
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. Vital Signs 0715: Temperature 38° C (100.4° F), Heart rate 80/min, Respiratory rate 22/min, Blood pressure 106/65 mm Hg. 0930: Temperature 38.4° C (101.1° F), Heart rate 90/min, Respiratory rate 23/min, Blood pressure 105/65 mm Hg. Provider Prescriptions: Sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO, Salicylic acid 20 mg/kg/dose every 4 hr as needed for pain and fever
Question 1 of 5
For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Intervention | Anticipated | Contraindicated |
|---|---|---|
| Educate the child about proper perineal hygiene. | ||
| Advise child's guardian about the use of sunscreen. | ||
| Administer salicylic acid for pain and fever. | ||
| Administer sulfamethoxazole and trimethoprim. | ||
| Ensure the child receives a maximum of 1,200 mL/day of fluid. |
Correct Answer: A: Anticipated, B: Contraindicated, C: Contraindicated, D: Anticipated, E: Contraindicated
Rationale: A. Anticipated: Hygiene prevents UTI recurrence. B. Contraindicated: Sunscreen isn't UTI-related. C. Contraindicated: Salicylic acid risks Reye's syndrome. D. Anticipated: Antibiotic treats UTI. E. Contraindicated: Fluid restriction worsens UTI; hydration is key.
Extract:
Toddler with manifestations of epiglottitis
Question 2 of 5
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale:
Correct Answer: D. Epiglottitis spreads via droplets; initiating precautions first protects others. A. X-ray aids diagnosis but isn’t first. B. Intubation prep is secondary. C. Antibiotics follow precautions.
Extract:
School-age child with diabetes mellitus
Question 3 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:
Correct Answer: C. Thirst is a classic sign of hyperglycemia due to dehydration from polyuria. A. Tremors are more typical of hypoglycemia. B. Pallor isn’t specific to hyperglycemia. D. Sweating can occur in both hypo- and hyperglycemia.
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: Puncturing the outer heel avoids bone injury and ensures blood flow. A. Alcohol is wiped before, not after. C. Cool packs aren't used; warmth aids flow. D. A lancet, not a blade, is standard.
Extract:
Child in the acute stage of nephrotic syndrome
Question 5 of 5
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Daily weighing monitors fluid retention, critical in nephrotic syndrome. A. Increased fluids worsen edema. C. Supine positioning may increase edema; elevation helps. D. Calorie restriction harms recovery.