ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is preparing to obtain a urine specimen from a 5-month-old infant using a urine collection bag.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Attaching to the perineum first ensures a snug fit for accurate collection.
Extract:
Flow Sheet Day 1, 1030: Temperature 38.7° C (101.7° F), Heart rate 114/min, Respiratory rate 26/min, Blood pressure 114/80 mm Hg, SpO2 97% on room air, Height 122 cm (48 in), Weight 29 kg (64 lb); Provider Prescriptions Day 1, 1020: Admit directly to pediatric unit, Keep child NPO, Obtain comprehensive metabolic panel and blood cultures STAT, Vital signs every 30 min, then every hr x 4, then every 4 hr; Diagnostic Results Day 1, 1040: Potassium 3.8 mEq/L (3.4 to 4.7 mEq/L), Hemoglobin 9.5 g/dL (10 to 15.5 g/dL), Hematocrit 30% (32% to 44%), RBC count 4.2 x 10°/μL (4.0 to 5.5 x 10/μL), WBC count 14,000 mm3 (5,000 to 10,000 mm3), Platelets 350,000/mm3 (150,000 to 400,000/mm3), Glucose 90 mg/dL (< 200 mg/dL), Blood cultures pending; Nurses' Notes Day 1, 1020: Child is a direct admit from a pediatric clinic with fever, chills, irritability for 2 days, prior URI 2 weeks ago, no prior conditions, fully immunized. 1030: Child reports nausea, headache (7/10), lethargic, nuchal rigidity, petechiae on face and trunk.
Question 2 of 5
A nurse is admitting an 8-year-old child to the pediatric unit. For each potential condition, click to specify if the child's assessment findings are consistent with Hodgkin Lymphoma, Bacterial Meningitis, or Acute Lymphoblastic Leukemia (ALL).
| Pain |
| Lymph nodes |
| Skin |
| Neurologic |
Correct Answer: A: Pain - Bacterial Meningitis, B: Lymph nodes - Hodgkin Lymphoma, C: Skin - Bacterial Meningitis & ALL, D: Neurologic - Bacterial Meningitis
Rationale: Bacterial Meningitis matches fever, nuchal rigidity, petechiae, and neurologic symptoms. Hodgkin Lymphoma and ALL less likely given acute presentation.
Extract:
A school nurse is providing teaching to the guardian of a child who has pediculosis.
Question 3 of 5
Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: B
Rationale: Boiling brushes for 10 minutes kills lice, showing understanding.
Extract:
A nurse is admitting a school-age child who has osteomyelitis.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Obtaining a blood culture first identifies the causative organism before antibiotics alter results.
Extract:
A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden unexpected infant death syndrome (SUIDS).
Question 5 of 5
Which of the following statements by the parents indicates an understanding of the teaching?
Correct Answer: B
Rationale: Lightweight clothing prevents overheating, a SUIDS risk factor, indicating understanding.