ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is preparing a child for a lumbar puncture.
Question 1 of 5
In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: Semi-Fowler's and supine don't allow spinal flexion. Prone restricts lumbar access. Lateral positioning aligns the spine for safe puncture.
Extract:
A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior.
Question 2 of 5
Which of the following behaviors should the nurse include?
Correct Answer: B
Rationale:
Toddlers are more emotionally labile. Frequent 'no' responses reflect autonomy development, typical for toddlers. Resistance to routines is common as they assert independence.
Toddlers seek independence, not increased dependency.
Extract:
Nurses' Notes (0700 hrs): 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. The child appears uncomfortable and is frequently shifting positions in bed. The client has been crying intermittently and is reluctant to drink fluids. The guardian mentions that the child has been more irritable and has a decreased appetite. The child has a history of recurrent UTIs, with the last episode occurring 6 months ago; Vital Signs (0715 hrs): Heart rate: 80/min, Temperature: 38°C (100.4°F), Respiratory rate: 22/min, Blood pressure: 106/65 mm Hg; A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI) in the pediatric unit.
Question 3 of 5
For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Finding | Anticipated | Contraindicated |
|---|---|---|
| Advise child's guardian about the use of sunscreen | ||
| Educate the child about proper perineal hygiene | ||
| Administer salicylic acid for pain and fever | ||
| Ensure the child receives a maximum of 1,200 mL/day of fluid | ||
| Administer sulfamethoxazole and trimethoprim |
Correct Answer: B,E
Rationale: Advise child's guardian about the use of sunscreen: This intervention is contraindicated as it is not relevant to the child's current condition of a UTI. Educate the child about proper perineal hygiene: This intervention is anticipated as proper perineal hygiene is crucial in preventing recurrent UTIs. Administer salicylic acid for pain and fever: This intervention is contraindicated as salicylic acid is not typically used for pain and fever management in children with UTIs. Acetaminophen or ibuprofen is more appropriate. Ensure the child receives a maximum of 1,200 mL/day of fluid: This intervention is contraindicated as adequate fluid intake is essential for flushing out bacteria from the urinary tract. Restricting fluids is not appropriate. Administer sulfamethoxazole and trimethoprim: This intervention is anticipated as sulfamethoxazole and trimethoprim are commonly prescribed antibiotics for treating UTIs in children.
Extract:
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome.
Question 4 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Daily weighing monitors fluid retention in nephrotic syndrome, critical for assessing edema. Increased fluid intake worsens edema. Supine positioning may increase fluid pooling. Calorie restriction is unnecessary; balanced nutrition supports recovery.
Extract:
A nurse is caring for a school-age child who weighs 20 kg (44 lb) and is postoperative with chest tubes in place.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Serous drainage and chamber fluctuation are normal. A respiratory rate of 22/min is typical. 200 mL/hr drainage suggests bleeding, requiring urgent reporting.