ATI RN
ATI RN Pediatrics Nursing 2023 Questions
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 1 of 5
The child is at risk for developing _______and__________ .
Correct Answer: A,C
Rationale: The correct answer is A and C. Pyelonephritis is a bacterial infection of the kidneys, common in children with underlying urinary tract abnormalities, putting them at risk. Renal scarring can result from untreated or recurrent pyelonephritis, leading to long-term kidney damage.
Choices B, D, and E are not directly related to the initial risk factors mentioned in the question.
Extract:
A nurse is teaching the parent of a school-age child about bicycle safety.
Question 2 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:
Which of the following best describes the purpose of obtaining consent?
Question 3 of 5
To ensure the patient understands the risks.
Correct Answer: A
Rationale: The correct answer is A because obtaining permission from the patient's family for treatment is crucial to ensure that the patient understands the risks involved. Involving the family helps in providing comprehensive information and support to the patient.
Choice B is incorrect because the primary focus should be on patient care rather than protecting the nurse legally.
Choice C is incorrect as proceeding with treatment without patient input goes against the principles of informed consent.
Extract:
The RN reviews therapeutic and nontherapeutic communication techniques with a group of nursing students.
Question 4 of 5
Which of the following demonstrates the use of therapeutic communication techniques?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates active listening and empathy by asking the patient to physically demonstrate a task, promoting understanding and trust.
Choice A lacks focus on the patient's experience.
Choice C is dismissive and lacks empathy.
Choice D offers reassurance but lacks active listening.
Choices E, F, and G are not provided.
Extract:
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm.
Question 5 of 5
Which of the following information is the priority for the nurse to include?
Correct Answer: C
Rationale: The correct answer is C: Monitor for pallor or swelling in the child's affected hand. This is the priority because it indicates potential complications like impaired circulation or infection, which can be serious. Restricting activities (
A) is important but not as critical as monitoring for complications. Using a hair dryer (
B) can cause burns or damage to the cast. Examining for skin irritation (
D) is important but not as urgent as monitoring for circulation issues.