ATI RN
ATI RN Pediatrics Nursing 2023 New Questions
Extract:
The nurse is speaking to an adolescent client with osteosarcoma and who is scheduled for a surgical procedure of a left leg amputation In 2 days.
Question 1 of 5
The nurse's approach should include which action?
Correct Answer: A
Rationale: Encouraging open communication allows the adolescent to express emotions and supports emotional preparation for surgery.
Extract:
A nurse is caring for a 13-year-old with a tibia, fibula fracture, what is the priority assessment after a cast has been applied?
Question 2 of 5
Assess the client's ability to use crutches
Correct Answer: C
Rationale: Worsening pain after a fracture or cast placement may indicate complications such as compartment syndrome, a medical emergency.
Extract:
A Nurse is caring for a child with Slipped Capital Femoral Epiphysis (SCFE).
Question 3 of 5
Which interventions should be prioritized for a child with SCFE? SELECT ALL THAT APPLY.
Correct Answer: B,C,E
Rationale: Restricting weight-bearing activities is crucial to prevent further damage. Crutches may be prescribed to assist with mobility and prevent weight-bearing. Immediate referral to an orthopedic specialist is necessary for appropriate diagnosis and management.
Extract:
Received 4-year-old child with an exacerbation of heart failure. Family reports history of congenital mitral stenosis. Breath sounds with wheezing noted in bilateral lower lobes. Nonproductive cough noted. Dyspnea with respiratory rate 30/min. Oxygen at 2 L/min applied per nasal cannula. Telemetry applied: Sinus rhythm a rate 116/min. Abdomen soft, nontender. Bowel sounds positive all 4 quadrants. Lower extremities with 2+ edema noted. Pedal pulses palpable bilaterally. Peripheral saline lock intact to right forearm with no signs and symptoms of infection. Weight 20 kg (44 lb). Increase in dyspnea noted with orthopnea. Nasal flaring with respiratory rate of 36/min. Lung sounds with wheezing noted throughout. Lower extremity edema 3+ to bilateral lower extremities. Extremities cool with decreased skin pigmentation noted. Peripheral pulses weak bilateral jugular vein distention noted.
Question 4 of 5
The client is at risk for developing ____ and ____
Correct Answer: A,B
Rationale: Digitalis toxicity can occur in children receiving digoxin, especially if there are electrolyte imbalances. Hypokalemia is a common side effect of diuretics like furosemide.
Extract:
The nurse is admitting a child with rheumatic fever.
Question 5 of 5
Which therapeutic management should the nurse expect to Implement?
Correct Answer: A
Rationale: Penicillin is used to eradicate the group A streptococcus bacteria that cause rheumatic fever, preventing further complications.