ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10. Vital Signs: Temperature 37.8° C (100° F), Heart rate 100/min, Blood pressure 110/72 mm Hg, Respiratory rate 20/min, Oxygen saturation 95% on room air. Assessment: Awake, alert, and oriented x 3, Yellow sclera of eyes noted bilaterally, Right upper quadrant tender to palpation, Hands painful to touch and swollen bilaterally, Right knee is swollen, warm to palpation, and the client reports pain as 8 on a scale of 0 to 10, Client is tearful and grimacing during the examination.
Question 1 of 5
The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.
Correct Answer: A,B,C,F
Rationale: A. Clients with sickle cell disease are at increased risk for infections, including those caused by pneumococcus. Ensuring vaccination status helps prevent future complications. B. Folic acid supplementation may be part of the overall management of sickle cell disease, but it is not a priority intervention during a vaso-occlusive crisis. C. Vaso-occlusive crises can lead to tissue hypoxia due to impaired blood flow. Continuous monitoring of oxygen saturation helps in assessing tissue perfusion and detecting hypoxemia early. D. Placing the client on strict bed rest can increase the risk of thrombosis and impair circulation. E. Cold can cause vasoconstriction, worsening the pain and sickling process. Warm compresses are more appropriate for promoting comfort and improving circulation. F. Meperidine (Demerol) is a potent opioid analgesic that can help alleviate severe pain associated with vaso-occlusive crises. G. The nurse should not restrict oral intake, as hydration is important to prevent dehydration and further sickling. H. Hydroxyurea is used to prevent vaso-occlusive crises in patients with sickle cell disease but is not typically administered during an acute crisis. This is a medication that reduces the frequency and severity of vaso-occlusive crises by increasing the production of fetal hemoglobin, which prevents sickling.
Extract:
Question 2 of 5
A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling. Which of the following reactions is an age-appropriate response to death?
Correct Answer: B
Rationale: B. Curiosity about what happened to the sibling's body is a common reaction in preschool-age children and can be considered age-appropriate. A, C, D. These are beyond the developmental understanding of a preschooler.
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: B
Rationale: B. Notifying the public health department is essential for contact tracing and preventing the spread of syphilis. A. Retesting may be needed, but notification is immediate. C. Contacting parents is not appropriate for a 20-year-old. D. Metronidazole is not used for syphilis treatment.
Question 4 of 5
A nurse is caring for a child who has disseminated intravascular coagulation. Which of the following laboratory findings should the nurse expect?
Correct Answer: D
Rationale: DIC is characterized by widespread activation of coagulation, leading to consumption of platelets and decreased platelet count, which can result in bleeding tendencies. A. Decreased prothrombin time is incorrect as DIC typically causes prolonged clotting times. B. Increased Hgb level is incorrect as DIC may lead to anemia due to blood loss. C. Increased RBC is incorrect as DIC can cause anemia.
Question 5 of 5
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax. Which of the following oils should the nurse recommend?
Correct Answer: A
Rationale: A. Lavender oil is commonly used for relaxation and calming effects. B. Eucalyptus oil is used for respiratory issues. C. Jasmine oil is aromatic but less effective for relaxation. D. Tea tree oil is antimicrobial, not relaxing.