ATI RN Pediatrics Nursing 2023

Extract:

A nurse is assessing a school-age child who is receiving prednisolone.

Question 1 of 5

For which of the following adverse effects should the nurse monitor?

A. Hypotension.B. Prolonged wound healing.C. Renal failure.D. Stevens-Johnson syndrome.

Correct Answer: B

Rationale: Prednisolone causes hypertension, not hypotension. It delays wound healing due to immunosuppression. Renal failure and Stevens-Johnson syndrome are not common side effects.

Extract:

A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture.

Question 2 of 5

Which of the following actions should the nurse take?

A. Encourage flexion and extension of the neck.B. Assess the pin sites for infection once every other day.C. Tighten the screws on the halo device one-quarter turn every 48 hr.D. Reposition the client using a turning sheet.

Correct Answer: D

Rationale: Neck movement risks instability. Pin sites need daily checks. Screw adjustments are provider-only. Turning sheets ensure safe repositioning without spinal strain.

Extract:

A nurse is planning care for a preschooler who has autism spectrum disorder.

Question 3 of 5

Which of the following interventions should the nurse include in the plan?

A. Hold the child during assessments.B. Establish a reward system.C. Maintain extended eye contact.D. Engage in cooperative play.

Correct Answer: B

Rationale: Holding may distress the child. A reward system reinforces positive behavior effectively. Extended eye contact can be uncomfortable, and cooperative play may be too complex; structured activities are better.

Extract:

A nurse is providing instructions about a 24-hour urine collection to an adolescent client.

Question 4 of 5

Which of the following should the nurse include in the teaching?

A. Discard the first voided specimen.B. Void every hour.C. Save the final specimen in a separate container.D. Cleanse the perineum with a povidone-iodine solution prior to voiding.

Correct Answer: A

Rationale: Discarding the first void starts the collection accurately. Hourly voiding isn't needed. All urine goes in one container. Povidone-iodine isn't required for hygiene during collection.

Extract:

A nurse is teaching the parent of a school-age child about bicycle safety.

Question 5 of 5

Which of the following instructions should the nurse include in the teaching?

A. Your child's feet should be 3 to 6 inches off the ground when seated on the bicycle.B. Your child should ride the bicycle against the flow of traffic.C. Your child should walk the bicycle through intersections.D. Your child should keep the bicycle at least 3 feet from the curb while riding in the street.

Correct Answer: C

Rationale: This is incorrect because the child's feet should be able to touch the ground comfortably when seated on the bicycle for balance and control. Riding against the flow of traffic is dangerous and increases accident risk. Walking the bicycle through intersections ensures visibility and reduces collision risk. Keeping the bicycle 3 feet from the curb is not standard; children should ride close to the curb with traffic flow.

ATI RN Pediatrics Nursing 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN