ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
15-year-old adolescent admitted for a vaso-occlusive crisis. Parent reports low-grade fever and vomiting for 3 days. Adolescent reports right-sided and low back pain, painful swollen hands and right knee, pain 8/10. 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%. Assessment: Yellow sclera, tender right upper quadrant, swollen painful hands and knee. Labs: Hct 28%, Hgb 6 g/dL, WBC 20,000/mm3, ALT 50 units/L, AST 62 units/L, Total bilirubin 3.0 mg/dL. Chest X-ray: cardiomegaly, systolic flow murmur
Question 1 of 5
The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.
Correct Answer: B,D,E,G
Rationale: B. Bed rest reduces oxygen demand. D. Vaccine prevents infection, critical in sickle cell. E. Folic acid aids anemia. G. Oxygen monitoring detects compromise. A. Cold worsens pain; use warmth. C. Hydroxyurea prevents, doesn't treat acute crisis. F. Meperidine is avoided; use morphine.
Extract:
Preschool-age child who recently experienced the death of a sibling
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: C
Rationale:
Correct Answer: C. Curiosity about the body is normal for preschoolers learning about death. A. Magical thinking is common but not the best answer here. B. They don’t grasp permanence yet. D. Logical explanations develop later.
Extract:
Infant with a new diagnosis of heart failure
Question 3 of 5
A nurse is teaching the parent of an infant who has a new diagnosis of heart failure about nutrition. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Infants with heart failure tire easily. A 3-hour feeding schedule allows smaller, frequent feedings to avoid overexertion. A. Recumbent positioning worsens breathing. B. 45 minutes is too long, risking fatigue. C. Crying increases oxygen demand, which is harmful.
Extract:
Preschooler with autism spectrum disorder
Question 4 of 5
A nurse is planning care for a preschooler who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: A reward system motivates desired behaviors in autism. B. Holding may cause distress due to sensory sensitivities. C. Extended eye contact can overwhelm the child. D. Cooperative play is challenging; solitary play is preferred.
Extract:
School-age child receiving morphine
Question 5 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: D
Rationale: Bradypnea is a common morphine effect due to respiratory depression. A. Hypotension, not hypertension, is likely. B. SJS isn't linked. C. Healing isn't affected.