ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is assessing a school-age child who is receiving morphine.
Question 1 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale: Morphine can cause bradypnea, a serious respiratory depression effect requiring close monitoring. It doesn't affect wound healing, causes hypotension not hypertension, and isn't linked to Stevens-Johnson syndrome.
Extract:
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation.
Question 2 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Ambulating at 12 hours is too soon. Logrolling every 2 hours maintains spinal alignment, preventing complications. A 30° angle risks strain. Early sips risk aspiration; patients are typically NPO longer.
Extract:
A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers.
Question 3 of 5
Which of the following safety measures should the nurse include in the teaching?
Correct Answer: A
Rationale: Hidden wires prevent electrical burns. Midday outdoor time risks sunburn. 60°C water risks scalding; 49°C is safer. Front-facing pot handles increase pull-down burn risk.
Extract:
Medical History (0930): Three urinary tract infections over the past year treated with antibiotics. Diagnosed at 6 months old with vesicoureteral reflux; Vital Signs (0930): Heart rate: 128/min, Temperature: 38.4°C (101.1°F), Respiratory rate: 28/min; Nurse's Notes (0930): Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hours. Child febrile and lethargic. Notified provider of parent reports and child's fever. New prescriptions received. Urine sample obtained via sterile straight catheter; Diagnostic Results (1030): Urinalysis: Leukocyte esterase: positive (negative), Specific gravity: 1.035 (1.005 to 1.030), Appearance: cloudy and dark amber (clear), Nitrites: present (none), WBCs: 10 (0 to 4); Provider Prescriptions (0945): Obtain urine sample for urinalysis and culture and sensitivity via sterile straight catheter; A nurse in a provider's office is caring for a 1-year-old toddler.
Question 4 of 5
The child is at risk for developing _______and__________ .
Correct Answer: A,C
Rationale:
Choice A rationale: Pyelonephritis is a type of urinary tract infection (UTI) that affects the kidneys. The toddler's history of multiple UTIs and current symptoms suggest a risk for kidney involvement.
Choice B rationale: Polycystic kidney disease is a genetic disorder not associated with recurrent UTIs.
Choice C rationale: Renal scarring can occur from recurrent UTIs and vesicoureteral reflux, impairing kidney function.
Choice D rationale: Nephrotic syndrome is not typically linked to UTIs or reflux.
Choice E rationale: Acute glomerulonephritis is not commonly associated with recurrent UTIs.
Extract:
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Formula meets infant nutritional needs safely. Soy milk lacks adequate nutrients for infants. Reinitiating breastfeeding may not be feasible. Warming goat milk doesn't address its nutritional deficiencies.