ATI RN
ATI RN Pediatric Nursing 2023 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:
A nurse is assessing a child for scabies.
Question 2 of 5
Which of the following findings should the nurse identify as a manifestation of scabies?
Correct Answer: D
Rationale: D. Maculopapular skin burrows on the hand are a classic manifestation of scabies. A, B, C. These are not typical of scabies lesions, which appear as burrow-like lines.
Extract:
A nurse is caring for a child who has had a lumbar puncture.
Question 3 of 5
Which of the following complications should the nurse monitor the child for?
Correct Answer: C
Rationale: C. Headache is a common complication of lumbar puncture due to cerebrospinal fluid leakage. A. Nuchal rigidity suggests meningitis, not a puncture complication. B. Double vision is not typical. D. Iliac crest pain is unrelated.
Extract:
A nurse is caring for a school-age child who has heart failure.
Question 4 of 5
Which of the following findings should the nurse expect? Select all that apply.
Correct Answer: A,D,E
Rationale: A. Cyanosis can occur in children with heart failure due to inadequate oxygenation of tissues. B. Weight gain or fluid retention is more common in children with heart failure. C. Bounding pulses are more commonly associated with conditions such as hypertension or hyperthyroidism, rather than heart failure. D. Dyspnea, or difficulty breathing, is a common symptom of heart failure due to fluid buildup in the lungs. E. Tachycardia, or a rapid heart rate, can occur as a compensatory mechanism in response to decreased cardiac output in heart failure.
Extract:
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax.
Question 5 of 5
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.