ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is caring for a client.
Question 1 of 5
Which action demonstrates effective collaboration?
Correct Answer: B
Rationale: Independent action lacks collaboration. Seeking guidance from a specialist like a wound care nurse leverages expertise, enhancing care. Delegating to another nurse may not ensure specialized input. Consulting only family excludes professional input, limiting collaboration.
Extract:
Nurse's Notes (0700hrs): The adolescent is alert and oriented but appears distressed. Reports severe pain in the right side and lower back, rating it as 8/10. Hands and right knee are painful and swollen. The adolescent's parent reports a low-grade fever and vomiting for the past 3 days. The adolescent is lying in a fetal position, clutching their abdomen. Skin is warm and dry to touch. The adolescent is tearful and intermittently moaning in pain; Medical History: Diagnosed with sickle cell disease at age 2. History of multiple hospitalizations for vaso-occlusive crises. Last hospitalization was 6 months ago. No known drug allergies. Current medications include hydroxyurea and folic acid; Vital Signs (0700hrs): Temperature: 38.2°C (100.8°F), Heart rate: 110 beats per minute, Respiratory rate: 22 breaths per minute, Blood pressure: 130/80 mmHg, Oxygen saturation: 95% on room air; Physical Examination Results (0700hrs): Abdomen: Soft, non-distended, tender in the right lower quadrant. Musculoskeletal: Swelling and tenderness in the right knee and both hands. Neurological: Alert and oriented, no focal deficits. Skin: Warm, dry, no rashes or lesions; A nurse is caring for a 15-year-old adolescent who is admitted with a vaso-occlusive crisis in the emergency department.
Question 2 of 5
Select the 4 interventions the nurse should include.
Correct Answer: C,E,F,G
Rationale:
Choice A: Cold compresses worsen pain by causing vasoconstriction; warm compresses are better.
Choice B: Meperidine risks neurotoxicity; morphine is preferred.
Choice C: Folic acid supports red cell production in sickle cell disease.
Choice D: Hydration is key, not restriction.
Choice E: Hydroxyurea reduces crisis frequency.
Choice F: Continuous oxygen monitoring detects hypoxia.
Choice G: Bed rest lowers metabolic demand.
Choice H: Pneumococcal vaccine prevents infections, critical in sickle cell disease.
Extract:
A nurse is assessing a school-age child who is receiving prednisolone.
Question 3 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: Prednisolone causes hypertension, not hypotension. It delays wound healing due to immunosuppression. Renal failure and Stevens-Johnson syndrome are not common side effects.
Extract:
A nurse is planning care for a child who has varicella.
Question 4 of 5
Which of the following interventions should the nurse plan to include?
Correct Answer: D
Rationale: Koplik spots are for measles, not varicella. Aspirin risks Reye's syndrome. A blanket aids comfort but isn't specific. Airborne precautions prevent varicella's spread via droplets.
Extract:
Nurses' Notes (0800 hrs): The client's guardian reports that the child has been unable to sleep recently and has been very irritable. The guardian expresses concern about the child's skin condition worsening and the child scratching excessively, which results in the areas bleeding. The guardian states the child has a history of allergic rhinitis. The child appears alert and responsive but frequently scratches at the affected areas. The guardian mentions that the child has been using a new laundry detergent recently. The child has been given diphenhydramine 10 mg PO for itching. The guardian is worried about the potential for infection due to the open sores; Vital Signs (0800 hrs): Temperature: 37.2°C (99°F), Heart rate: 110/min, Respiratory rate: 22/min, Blood pressure: 100/60 mmHg; Physical Examination Results (0800 hrs): Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities. The affected areas are dry and rough to the touch. Some areas show signs of excoriation and minor bleeding. No signs of systemic infection observed. The child appears to be in mild distress due to itching; Medication Administration Record: Diphenhydramine 10 mg PO, 4 times per day, Pimecrolimus 1% cream, apply to skin lesions daily; A nurse is caring for a 3-year-old male client in the emergency department. The client presents with a history of irritability, scratching, and bleeding from skin lesions. The nurse is preparing to discharge the client.
Question 5 of 5
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? (Select all that apply)
Correct Answer: A,B,C,E,G
Rationale:
Choice A: Mild detergent reduces skin irritation.
Choice B: Emollients hydrate skin, preventing dryness.
Choice C: Gloves prevent scratching damage.
Choice D: Thick pimecrolimus layers risk side effects; thin layers are correct.
Choice E: Short nails minimize excoriation.
Choice F: Eczema isn't contagious.
Choice G: Flare-ups are expected in chronic skin conditions like eczema.