ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
History and Physical A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10.
Question 1 of 5
Select the 5 interventions the nurse should include.
Correct Answer: A,B,E,H
Rationale:
Correct Answer: A,B,E,H. A. Folic acid is important for patients with sickle cell disease because it helps produce new red blood cells. B. Continuous monitoring of oxygen saturation is crucial because hypoxia can exacerbate sickling of red blood cells. E. Patients with sickle cell disease are at increased risk for infections, including pneumococcal infections, due to functional asplenia. H. Hydroxyurea increases fetal hemoglobin production, reducing the frequency of vaso-occlusive crises. Interventions to avoid: C. Cold can cause vasoconstriction, worsening pain. D. Hydration is crucial; restricting intake could worsen the crisis. F. Strict bed rest increases the risk of complications like thrombosis. G. Meperidine is not recommended due to side effects like respiratory depression.
Extract:
Question 2 of 5
A nurse is caring for a child who has had a lumbar puncture. The nurse should monitor the child for which of the following complications?
Correct Answer: D
Rationale:
Correct Answer: D. Headache is a common complication post-lumbar puncture due to CSF leak, worsening when upright. A. Double vision isn’t typical. B. Nuchal rigidity suggests meningitis, not a direct complication. C. Pain at the iliac crest isn’t related to the procedure site.
Extract:
School-age child receiving morphine
Question 3 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: D
Rationale: Bradypnea is a common morphine effect due to respiratory depression. A. Hypotension, not hypertension, is likely. B. SJS isn't linked. C. Healing isn't affected.
Extract:
School-age child with diabetes mellitus
Question 4 of 5
A nurse is caring for a school-age child who has diabetes mellitus. Which of the following findings should the nurse recognize as being consistent with hyperglycemia?
Correct Answer: C
Rationale:
Correct Answer: C. Thirst is a classic sign of hyperglycemia due to dehydration from polyuria. A. Tremors are more typical of hypoglycemia. B. Pallor isn’t specific to hyperglycemia. D. Sweating can occur in both hypo- and hyperglycemia.
Extract:
5-year-old child following a tonsillectomy and adenoidectomy
Question 5 of 5
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: C
Rationale: Continuous swallowing suggests bleeding as the child clears blood from the throat, a critical sign. A. Normal heart rate doesn't indicate hemorrhage. B. Flushing isn't specific. D. Normal BP doesn't rule out bleeding.