ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
Vital Signs Day 1: Temperature 38.8° C (101.8° F), Heart rate 110/min, Respiratory rate 18/min, Blood pressure 110/70 mm Hg; Day 2: Temperature 37.6° C (99.7° F), Heart rate 100/min, Respiratory rate 18/min, Blood pressure 108/68 mm Hg; Laboratory Results Day 1: Hgb 15 g/dL (10 to 15.5 g/dL), Hct 40% (32% to 44%), WBC count 14,000/mm3 (5,000 to 10,000/mm3), Wound culture pending (Negative); Day 2: WBC count 15,000/mm3 (5,000 to 10,000/mm3); A nurse is caring for a 15-year-old adolescent who has cellulitis of the left lower calf.
Question 1 of 5
The nurse is assessing the adolescent 24 hr after the initial visit. How should the nurse interpret the findings? For each finding, click to specify whether the finding is an indication of potential improvement or an indication of potential worsening condition:
Correct Answer: A: Improvement, B: Worsening, C: Improvement, D: Worsening
Rationale:
To interpret the findings 24 hours after the initial visit for an adolescent, the nurse should consider the following:
A. Temperature: A decrease or normalization in temperature indicates improvement as it suggests resolution of infection. An increase in temperature could indicate a worsening condition due to possible infection progression.
B. WBC count: An increasing WBC count suggests a worsening condition, potentially indicating an ongoing or worsening infection. A decreasing WBC count could indicate improvement as the body is fighting off the infection.
C. Weight-bearing ability on the affected leg: Improving weight-bearing ability indicates progress in healing and recovery. Decreased weight-bearing ability could signal a worsening condition such as a fracture complication or increased pain.
D. Wound assessment: Deterioration in wound appearance, increased drainage, or signs of infection indicate a worsening condition. Healing of the wound, reduced drainage, and absence of infection signs suggest improvement.
Therefore, the correct interpretation is A: Improvement , B: W
Extract:
Provider Prescriptions: Pancrelipase 8,000 units PO with each meal and snack, Chest physiotherapy three times daily; Diagnostic Results: HbA1c 8.5% (4% to 5.9%), Hgb 13.5 mg/dL (10 to 15.5 g/dL), Hct 39% (32% to 44%), WBC count 9,600/mm3 (5,000 to 10,000/mm3)
Question 2 of 5
A nurse is reviewing the medical record of a school-age child who has cystic fibrosis. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: HbA1c. In cystic fibrosis, monitoring blood glucose levels is crucial due to the potential for developing cystic fibrosis-related diabetes. HbA1c reflects average blood sugar levels over 2-3 months, providing insight into long-term glucose control. Reporting abnormal HbA1c levels can help the provider adjust treatment plans to prevent complications.
Choice A (heart rate) is not directly related to cystic fibrosis.
Choice C (WBC count) is more indicative of infection, which is not the primary concern in cystic fibrosis.
Choice D (oxygen saturation) is important but usually monitored continuously in patients with cystic fibrosis and does not require immediate reporting unless significantly low.
Extract:
A nurse is assessing a school-age child prior to administering digoxin.
Question 3 of 5
For which of the following findings should the nurse withhold the medication?
Correct Answer: C
Rationale: The correct answer is C: Heart rate 64/min. A heart rate of 64/min is below the normal range (60-100/min) for adults, indicating bradycardia, which can be a sign of decreased cardiac output. The nurse should withhold medication that can further lower the heart rate and worsen the condition.
A: Urine output 25 mL/hr is low but not necessarily a reason to withhold medication.
B: Oxygen saturation 88% is below the normal range (95-100%) but is not a direct contraindication to withhold medication.
D: Respiratory rate 18/min is within the normal range (12-20/min) and not a reason to withhold medication.
Extract:
A nurse is teaching the guardians of a school-age child who has cystic fibrosis about dietary needs.
Question 4 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Offer your child foods that are high in fat." This is because children require essential fatty acids for brain development and overall growth. Fat is a concentrated source of energy and aids in the absorption of fat-soluble vitamins. It is important for healthy cell function and hormone production.
Choices A, C, and D are incorrect because low-calorie, high vitamin C, and low-protein foods may not provide adequate nutrition for a growing child. Offering foods high in fat, but choosing healthy fats like avocados, nuts, and seeds, can support a child's overall health and development.
Extract:
Flow Sheet Day 1, 1030: Temperature 38.7° C (101.7°F), Heart rate 114/min, Blood pressure 114/80 mm Hg, Respiratory rate 26/min, SpO2 97% on room air, Height 122 cm (48 in), Weight 29 kg (64 lb); Nurses' Notes Day 1, 1020: Child is a direct admit from a pediatric clinic with fever, chills, irritability for 2 days, prior URI 2 weeks ago, no prior conditions, fully immunized. 1030: Child reports nausea, headache (7/10), lethargic, nuchal rigidity, capillary refill 4 seconds.
Question 5 of 5
A nurse is admitting an 8-year-old child to the pediatric unit. Select 1 condition and 1 client finding to fill in each blank in the following sentence: The nurse should anticipate a provider's prescription for ___ due to the child's ___.
Correct Answer: A
Rationale: The correct answer is A: Initiating airborne precautions due to WBC. The rationale is as follows:
1. The mention of "WBC" indicates a potential infectious condition, which may require airborne precautions to prevent transmission.
2. Airborne precautions are typically indicated for diseases like tuberculosis or measles, which can be spread through respiratory droplets.
3. In pediatric units, children are more susceptible to infections, making it crucial to implement appropriate precautions.
4. Initiating airborne precautions based on WBC levels aligns with infection control practices to protect both the child and others in the unit.
In summary, choice A is correct because it addresses the potential infectious nature of the child's condition, while the other options do not directly relate to the need for precautions based on laboratory findings or clinical assessment.