ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Nurses' 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 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter. Vital Signs 0930: Temperature 38.4° C (101.1° F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).
Question 1 of 5
Select words from the choices to fill in each blank in the following sentence. The child is at risk for developing ______ and _______.
Correct Answer: A,D
Rationale: E. Pyelonephritis is a bacterial infection of the kidneys commonly associated with fever and lethargy, especially in young children. B. Renal scarring can occur as a complication of untreated or recurrent urinary tract infections (UTIs), particularly pyelonephritis.
Extract:
Cerebrospinal fluid: Pressure: 22 cm H2O (less than 20 cm H2O), Color: Cloudy (clear or colorless), Blood: None (none), Cells RBC: 0 (0), WBC: 36 cells/mcL (0 to 30 cells/mcL), Protein: 92 mg/dL (up to 70 mg/dL), Glucose: 36 mg/dL (50 to 75 mg/dL), Serum glucose: 64 mg/dL (60 to 100 mg/dL).
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A. Given the cloudy appearance of the cerebrospinal fluid (CSF) and elevated white blood cell count (WB
C) in the CSF, there may be an indication of meningitis. Ceftriaxone is a broad-spectrum antibiotic commonly used to treat bacterial meningitis. B. Vaccines prevent infections but are not immediate treatment. C. Glucose monitoring is not the priority over infection treatment. D. Neutropenic precautions are not indicated.
Extract:
Question 3 of 5
A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. The child's parents ask for information on hemodialysis. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: C. Hemodialysis indeed involves circulating the blood outside the body through an artificial membrane in the dialysis machine to remove waste products and excess fluids. A. This describes peritoneal dialysis. B. Electrolyte solution is not used in hemodialysis. D. Hemodialysis is intermittent, not continuous.
Question 4 of 5
A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: A. Checking the pH of the gastric secretions is the priority action to confirm the correct placement of the NG tube in the stomach before administering the enteral feeding. B, C, D. These actions follow confirmation of tube placement.
Question 5 of 5
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: A. Allowing the child to sit on the parent's lap can provide comfort and support during the procedure. B. While the electrocardiogram (ECG) machine may have alarms, they are not typically related to abnormal heart rhythms during the procedure. C. ECG leads are typically placed on the chest, not the back. D. The duration of an ECG is relatively short, usually only a few minutes.