ATI RN
ATI RN Pediatrics Nursing 2023 Questions
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?
Correct Answer: B
Rationale: The correct answer is B: Prolonged wound healing. Nurses should monitor for this adverse effect because it can indicate impaired tissue repair, which can lead to infection or delayed recovery. Hypotension (
A) is a common side effect of certain medications but is not specific to wound healing. Renal failure (
C) and Stevens-Johnson syndrome (
D) are serious adverse effects that require monitoring, but they are not directly related to wound healing. Other choices are not provided, but focusing on wound healing is crucial for patient recovery.
Extract:
Question 2 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: D
Rationale: Comparing pedal pulses is crucial post-lower extremity surgery to detect compromised circulation, a priority to prevent complications.
Question 3 of 5
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
Correct Answer: C
Rationale: The correct answer is C: The child swallows frequently. This is the priority because frequent swallowing can indicate bleeding after a tonsillectomy, which is a medical emergency requiring immediate intervention to prevent complications like airway obstruction and hemorrhage. Refusing clear liquids (
A) may be due to discomfort but is not as urgent. Crying often (
B) is common post-surgery and not necessarily indicative of a critical issue. Throat pain increasing (
D) is expected after a tonsillectomy and can be managed with pain medication.
Extract:
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Reposition the client using a turning sheet. This action is essential to prevent pressure ulcers and maintain skin integrity in clients with a halo device. Repositioning helps redistribute pressure, improve circulation, and reduce the risk of skin breakdown. Encouraging neck flexion and extension (
A) can be harmful with a halo device. Assessing pin sites (
B) and tightening screws (
C) should be done by qualified healthcare providers to prevent complications.
Extract:
Question 5 of 5
A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Rounded abdomen. Necrotizing enterocolitis (NE
C) is characterized by abdominal distention due to gas and fluid accumulation in the bowel wall. This results in a rounded abdomen appearance. Hypertension (
A) is not typically associated with NEC. Vomiting (
C) is a common symptom in infants but not specific to NEC. Tachypnea (
D) may occur due to sepsis or respiratory distress, but it is not a hallmark finding of NEC.