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: Temperature: The decrease from 38.8° C to 37.6° C indicates potential improvement in the infection response. WBC count: The increase from 14,000/mm³ to 15,000/mm³, still elevated, suggests a potential worsening condition if the trend continues. Weight-bearing ability: Improvement suggests reduced pain or swelling, indicating potential improvement. Wound assessment: Pending culture and possible ongoing inflammation suggest potential worsening if cellulitis spreads.
Extract:
A nurse is performing a dressing change for a child and notices that the gauze dressing is adhering to the wound bed.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Saturating with saline prevents trauma to the wound bed during removal.
Extract:
A nurse is performing a physical assessment for a 13-year-old adolescent.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The Adam's forward bend test screens for scoliosis, common in adolescents.
Extract:
A nurse is caring for a preschooler who has a gastrostomy tube.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Barrier ointments prevent skin breakdown from gastric leakage.
Extract:
A nurse is providing teaching about participating in sports to a 12-year-old child who has hemophilia.
Question 5 of 5
Which of the following sports should the nurse recommend?
Correct Answer: D
Rationale: Bowling is low-impact, minimizing bleeding risk in hemophilia.