ATI RN
ATI RN Pediatric Nursing 2023 II 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.
Question 1 of 5
The child is at risk for developing_____ and _____.
Correct Answer: A,B
Rationale: A. 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. C. While acute glomerulonephritis can occur following certain infections such as streptococcal infections, it is less commonly associated with fever and lethargy compared to pyelonephritis. D. Polycystic kidney disease typically presents later in life and is not typically associated with acute febrile illness in a 1-year-old toddler. E. Nephrotic syndrome typically presents with edema, proteinuria, hypoalbuminemia, and hyperlipidemia, rather than the symptoms described in the scenario.
Extract:
Question 2 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Riding the bicycle against the flow of traffic increases the risk of accidents and is unsafe. Keeping the bicycle at least 3 feet is too far from the curb and exposes the child to more traffic hazards. This instruction helps to prevent collisions with cars or pedestrians at busy crossings. This is too high and makes it hard for the child to balance and control the bicycle.
Question 3 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: C
Rationale: Warming goat's milk before feeding does not address the issue of nutritional adequacy or the potential allergenicity of goat's milk. Soy milk may not be suitable for infants under 12 months old due to potential allergenicity and nutritional concerns. Commercially prepared infant formula is the most appropriate option for infants who are having difficulty with breastfeeding or require an alternative to breast milk. Reinitiating breastfeeding may not be feasible or appropriate if the infant is already having difficulty eating.
Question 4 of 5
A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: This option provides a suitable alternative for obtaining calcium without consuming milk, which is appropriate for someone who is lactose intolerant. While plain milk may be better tolerated than chocolate milk due to fewer additives, it's not a suitable option for someone who is lactose intolerant. Flavored yogurt may contain lactose and could potentially worsen symptoms of lactose intolerance. Drinking milk on an empty stomach doesn't address the issue of lactose intolerance and may exacerbate symptoms.
Question 5 of 5
A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?
Correct Answer: D
Rationale: Providing the child with a warm blanket can help keep the child comfortable during the course of the illness but initiating airborne precautions is best intervention required. Assessing the oral cavity for Koplik spots is not relevant for varicella, as Koplik spots are associated with measles. Administering aspirin for fever is contraindicated in children with varicella due to the risk of Reye's syndrome. The nurse should initiate airborne precautions, which include placing the child in a private room with negative air pressure, wearing a mask or respirator when entering the room, and limiting visitors and staff exposure.