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:
| Finding | indication of potential improvement | indication of potential worsening condition |
|---|---|---|
| A. Temperature | ||
| WBC count | ||
| Weight-bearing ability on the affected leg, | ||
| Wound assessment |
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:
History and Physical: 16 year-old female presents with abdominal and pelvic pain lasting 2 days. Past medical history includes right arm fracture at age 7. Reproductive history includes sexual activity with 4 partners over the last 2 months. Oral contraceptives used for the past 12 months. Last menstrual period 7 days ago. Current on all vaccinations; human papillomavirus vaccine deferred. Vaginal examination: Noted cervical mucopurulent discharge; Vital Signs: Temperature 38° C (100.4° F), Heart rate 96/min, Respiratory rate 16/min, Blood pressure 104/68 mm Hg, Oxygen saturation 98% on room air
Question 3 of 5
A nurse is caring for an adolescent. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: D
Rationale: Action to Take: Bedrest in semi-Fowler's, Acetaminophen; Potential Condition: Pelvic Inflammatory Disease; Parameter to Monitor: Temperature >38.3°C, Rebound tenderness. The correct answer is D because Pelvic Inflammatory Disease is common in adolescents and requires rest and pain management with Acetaminophen. Monitoring temperature and rebound tenderness are key indicators of the effectiveness of treatment.
Choices A and B are incorrect as they suggest actions and parameters not typically associated with Pelvic Inflammatory Disease.
Choice C is incorrect as it suggests a different condition and unrelated parameters.
Extract:
Vital Signs 1405: Temperature 38° C (100.4° F), Heart rate 96/min, Respiratory rate 18/min, Blood pressure 104/72 mm Hg, Oxygen saturation 98% on room air; Laboratory Results 1430: C-reactive protein 3.2 mg/dL (<1.0 mg/dL), Albumin 3.4 g/dL (3.5 to 5.0 g/dL), Hemoglobin 11 g/dL (10 to 15.5 g/dL), Hematocrit 33% (32% to 44%), RBC count 4.0 x 10°/μL (4.0 to 5.5 x 10/μL), WBC count 13,000/mm3 (5,000 to 10,000/mm3), Platelets 275,000/mm3 (150,000 to 400,000/mm3), Potassium 3.5 mEq/L (3.4 to 4.7 mEq/L), Magnesium 1.4 mEq/L (1.4 to 1.7 mEq/L), Total calcium 9.0 mg/dL (8.8 to 10.8 mg/dL); Stool: Positive for occult blood (negative), Positive for leukocytes 4/high-power field (<2/high-power field), Negative for helicobacter pylori (negative)
Question 4 of 5
A nurse is caring for an adolescent in the emergency department (ED). Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: D
Rationale: Action to Take: Gluten-free diet, Record intake; Potential Condition: Crohn's disease; Parameter to Monitor: Albumin, Hemoglobin. Crohn's disease is a chronic inflammatory condition affecting the gastrointestinal tract, requiring a gluten-free diet and careful monitoring of nutrient intake to manage symptoms and prevent malnutrition. Monitoring albumin and hemoglobin levels helps assess the client's nutritional status and response to treatment. The other choices are incorrect because they do not align with the characteristic features of Crohn's disease, such as gluten sensitivity and the need for meticulous dietary management. The actions and parameters in the correct answer are specific to Crohn's disease, making it the most appropriate choice for the scenario presented.
Extract:
A nurse is caring for a toddler who received radiation therapy 2 years ago for a brain tumor.
Question 5 of 5
Which of the following should the nurse identify as a late adverse effect of the radiation therapy?
Correct Answer: D
Rationale: The correct answer is D: Short stature. Late adverse effects of radiation therapy typically manifest months to years after treatment. Radiation can affect bones and inhibit growth, leading to short stature. Mucosal ulceration (
A) and desquamation (
C) are early side effects, while nausea (
B) is a common acute side effect.
Therefore, they are not considered late adverse effects.
Choice E, F, and G are not provided.