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:
Choice A rationale: Pyelonephritis is a type of urinary tract infection (UTI) that affects the kidneys. The toddler's history of multiple UTIs and current symptoms suggest a risk for kidney involvement.
Choice B rationale: Polycystic kidney disease is a genetic disorder not associated with recurrent UTIs.
Choice C rationale: Renal scarring can occur from recurrent UTIs and vesicoureteral reflux, impairing kidney function.
Choice D rationale: Nephrotic syndrome is not typically linked to UTIs or reflux.
Choice E rationale: Acute glomerulonephritis is not commonly associated with recurrent UTIs.
Extract:
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia.
Question 2 of 5
Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: B
Rationale: Low hemoglobin indicates anemia, not improvement. A normal RBC count suggests treatment is stabilizing red cell production, indicating a therapeutic effect. Elevated WBC may reflect disease activity or infection, not necessarily success. Low platelets suggest ongoing issues, not improvement.
Extract:
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Restraint prescriptions need renewal every 24 hours. Tying to side rails risks injury; use the bed frame. Quick-release knots ensure safety. Assessments should occur every 2 hours, not 4, for safety.
Extract:
A nurse is planning care for an infant who has a prescription for a Pavlik harness.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Adjusting straps risks improper fit. Diapers go under straps for function and hygiene. Daily massage prevents skin breakdown. Lotion increases moisture, risking irritation.
Extract:
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis.
Question 5 of 5
Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: D
Rationale: Odorless urine, normal temperature, and no pain aren't specific to APSGN recovery. Clear urine indicates resolved hematuria, a sign of effective treatment.