ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Nurse's Notes (0700hrs): The adolescent is alert and oriented but appears distressed. Reports severe pain in the right side and lower back, rating it as 8/10. Hands and right knee are painful and swollen. The adolescent's parent reports a low-grade fever and vomiting for the past 3 days. The adolescent is lying in a fetal position, clutching their abdomen. Skin is warm and dry to touch. The adolescent is tearful and intermittently moaning in pain; Medical History: Diagnosed with sickle cell disease at age 2. History of multiple hospitalizations for vaso-occlusive crises. Last hospitalization was 6 months ago. No known drug allergies. Current medications include hydroxyurea and folic acid; Vital Signs (0700hrs): Temperature: 38.2°C (100.8°F), Heart rate: 110 beats per minute, Respiratory rate: 22 breaths per minute, Blood pressure: 130/80 mmHg, Oxygen saturation: 95% on room air; Physical Examination Results (0700hrs): Abdomen: Soft, non-distended, tender in the right lower quadrant. Musculoskeletal: Swelling and tenderness in the right knee and both hands. Neurological: Alert and oriented, no focal deficits. Skin: Warm, dry, no rashes or lesions; A nurse is caring for a 15-year-old adolescent who is admitted with a vaso-occlusive crisis in the emergency department.
Question 1 of 5
Select the 4 interventions the nurse should include.
Correct Answer: C,E,F,G
Rationale: The correct interventions are C, E, F, and G. C: Administering folic acid is essential for managing sickle cell anemia. E: Oral hydroxyurea helps reduce the frequency of pain crises. F: Continuous monitoring of oxygen saturation is crucial to detect hypoxia early. G: Bed rest helps reduce oxygen demand. A: Cold compresses may not directly address the underlying cause. B: Meperidine IV is not recommended due to potential complications. D: Restricting oral intake can worsen dehydration.
Extract:
Question 2 of 5
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. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Offer commercially prepared formula. Goat's milk is not recommended for infants under 1 year old due to inadequate nutrients and high protein content. Commercially prepared formula is specifically designed to meet the nutritional needs of infants. Switching to soy milk (
B) is not recommended due to potential allergies. Warming goat's milk (
C) does not address the nutritional deficiencies. Reinitiating breastfeeding (
D) may not be feasible or desired by the parent.
Extract:
A nurse is teaching the parent of a school-age child about bicycle safety.
Question 3 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Your child should walk the bicycle through intersections. This instruction is crucial for safety as walking the bicycle through intersections reduces the risk of accidents. By walking the bicycle, the child can better navigate the intersection and avoid collisions with vehicles or pedestrians.
Choice A is incorrect because the child's feet should be able to touch the ground easily for stability.
Choice B is incorrect as children should always ride their bicycles in the same direction as traffic flow to prevent accidents.
Choice D is incorrect because keeping the bicycle at least 3 feet from the curb is not necessary and may obstruct traffic flow.
Extract:
Nurses' Notes (0800 hrs): The client's guardian reports that the child has been unable to sleep recently and has been very irritable. The guardian expresses concern about the child's skin condition worsening and the child scratching excessively, which results in the areas bleeding. The guardian states the child has a history of allergic rhinitis. The child appears alert and responsive but frequently scratches at the affected areas. The guardian mentions that the child has been using a new laundry detergent recently. The child has been given diphenhydramine 10 mg PO for itching. The guardian is worried about the potential for infection due to the open sores; Vital Signs (0800 hrs): Temperature: 37.2°C (99°F), Heart rate: 110/min, Respiratory rate: 22/min, Blood pressure: 100/60 mmHg; Physical Examination Results (0800 hrs): Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities. The affected areas are dry and rough to the touch. Some areas show signs of excoriation and minor bleeding. No signs of systemic infection observed. The child appears to be in mild distress due to itching; Medication Administration Record: Diphenhydramine 10 mg PO, 4 times per day, Pimecrolimus 1% cream, apply to skin lesions daily; A nurse is caring for a 3-year-old male client in the emergency department. The client presents with a history of irritability, scratching, and bleeding from skin lesions. The nurse is preparing to discharge the client.
Question 4 of 5
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? (Select all that apply)
Correct Answer: A,B,C,E,G
Rationale:
Correct Answer: A, B, C, E, G
Rationale:
A: "You should use a mild detergent for your child's laundry." This is important to prevent skin irritation in sensitive skin.
B: "You should apply emollients to your child's skin after bathing." Emollients help in moisturizing and soothing the skin.
C: "You can apply gloves to your child's hands." Gloves can protect the skin from further irritation and damage.
E: "You should cut and file your child's fingernails frequently." Short nails help prevent scratching and worsening of skin lesions.
G: "Your child will experience occasional flare-ups of this condition." Setting realistic expectations about the condition helps in long-term management.
Summary:
D: "You should apply a thick layer of pimecrolimus cream to your child's lesions." Pimecrolimus cream is not usually recommended for all types of skin conditions.
F: "Your child's condition is contagious when lesions
Extract:
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy.
Question 5 of 5
Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: A
Rationale: The correct answer is A: Continuous swallowing. This finding indicates hemorrhage because blood pooling in the throat triggers the swallowing reflex. Continuous swallowing may suggest blood loss and the need for further assessment. Blood pressure of 95/56 mm Hg (choice
B) is low but alone may not specifically indicate hemorrhage. A heart rate of 54/min (choice
C) may be bradycardia but does not definitively point to hemorrhage. Flushing of the face (choice
D) is not a typical sign of hemorrhage.