ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A school aged child with glomerulonephritis, with urine output of 190mL in 8 hours, dark brown urine, lethargy, confusion, headache, double vision, elevated BUN, creatinine, ESR, BP 138/80, and irritability.
Question 1 of 5
The nurse is caring for a school aged child with glomerulonephritis. Which of the following findings requires IMMEDIATE attention?
Correct Answer: B
Rationale: Lethargy, confusion, headache, and double vision are signs of severe hypertension and possibly hypertensive encephalopathy, which require immediate attention.
Extract:
A 5-year-old child receiving a MMR vaccine.
Question 2 of 5
The nurse is instructing the parents of a 5-year-old child receiving a MMR vaccine about possible serious reactions. Which of the following is considered a serious reaction? SELECT ALL THAT APPLY
Correct Answer: A,B
Rationale: Prolonged seizures and decreased level of consciousness are serious reactions to the MMR vaccine, requiring immediate medical attention.
Extract:
A preschool aged child immediately following an open repair of a Ventricular Septal Defect, with no drainage from the mediastinal chest tubes in the last 2 hours.
Question 3 of 5
The nurse is caring for a preschool aged child immediately following an open repair of a Ventricular Septal Defect. There has been no drainage from the mediastinal chest tubes in the last 2 hours. Based on this finding what will be the nurse's priority intervention?
Correct Answer: C
Rationale: Lack of drainage from the chest tubes following cardiac surgery can be life-threatening, indicating possible cardiac tamponade or tube occlusion. Immediate reporting is necessary for prompt intervention.
Extract:
A child with an intellectual disability due to Down's Syndrome.
Question 4 of 5
The nurse is caring for a child with an intellectual disability due to Down's Syndrome. The nurse understands that it is important to provide developmentally appropriate care. Which of the following will help to meet this need?
Correct Answer: B
Rationale: Assessing the child's level of mental maturity, self-help abilities, and habits helps the nurse to provide care that is appropriate to the child's developmental level and promotes independence.
Extract:
A 4-year-old boy who has cerebral palsy, whose parents have taken his name off the list for baseball next season.
Question 5 of 5
A nurse is speaking with the parents of a 4-year-old boy who has a cerebral palsy. The parents tell the nurse they have taken their son's name off the list for baseball next season. Which of the following is the BEST response for the nurse to make?
Correct Answer: C
Rationale: Asking to discuss their decision and explore alternatives is the best response as it opens a dialogue, provides support, and helps the parents consider other options for their child's participation in activities.