ATI RN
ATI RN Pediatrics 2023 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:
Correct Answer: Dropdown Group 1: pyelonephritis, Dropdown Group 2: renal scarring. Given the clinical presentation and the context, the most appropriate words to fill in the blanks are 'pyelonephritis' and 'renal scarring.'
Rationale: 1. Pyelonephritis: The child presents with a fever and lethargy, which are common signs of a urinary tract infection (UTI). The use of a sterile straight catheter to obtain a urine sample suggests that the healthcare provider is investigating a potential UTI, which in children can progress to pyelonephritis if not promptly treated. 2. Renal scarring: If pyelonephritis occurs, it can lead to renal scarring, especially in young children. Early diagnosis and treatment of UTIs are crucial to prevent renal scarring.
Extract:
Nurses' Notes 0700: 7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor.
Question 2 of 5
For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
Correct Answer: A: Anticipated, B: Contraindicated, C: Anticipated, D: Contraindicated, E: Contraindicated
Rationale: A. Anticipated: Effective antibiotic for UTIs. B. Contraindicated: Salicylic acid risks Reye’s syndrome in children. C. Anticipated: Hygiene prevents recurrent UTIs. D. Contraindicated: Sunscreen isn’t UTI-related. E. Contraindicated: Fluid restriction worsens UTIs; hydration is key.
Extract:
20-year-old adolescent with syphilis
Question 3 of 5
A nurse is providing teaching for a 20-year-old adolescent who has syphilis. Which of the following statements should the nurse make?
Correct Answer: D
Rationale:
Correct Answer: D. Syphilis is reportable for public health tracking. A. Metronidazole isn’t for syphilis (penicillin is). B. Patient is an adult; parents don’t need contact. C. Retesting isn’t in a week; it’s later post-treatment.
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 4 of 5
The child is at risk for developing ___ and ___.
Correct Answer: A,B
Rationale:
Correct Answer: Dropdown Group 1: pyelonephritis, Dropdown Group 2: renal scarring. Given the clinical presentation and the context, the most appropriate words to fill in the blanks are 'pyelonephritis' and 'renal scarring.'
Rationale: 1. Pyelonephritis: The child presents with a fever and lethargy, which are common signs of a urinary tract infection (UTI). The use of a sterile straight catheter to obtain a urine sample suggests that the healthcare provider is investigating a potential UTI, which in children can progress to pyelonephritis if not promptly treated. 2. Renal scarring: If pyelonephritis occurs, it can lead to renal scarring, especially in young children. Early diagnosis and treatment of UTIs are crucial to prevent renal scarring.
Extract:
Child for a lumbar puncture
Question 5 of 5
A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: Lateral position with knees to chest widens vertebral spaces for the procedure. A. Prone doesn't allow access. C. Semi-Fowler's is too upright. D. Supine doesn't facilitate needle insertion.