ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is caring for an 11-year-old child who has type 1 diabetes mellitus and receives insulin injections. The child is experiencing an altered mental status, diaphoresis, and tremors.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Give the child 3 to 6 oz of orange juice. This is the correct action because the child is likely experiencing hypoglycemia, and orange juice contains fast-acting sugar that can quickly raise blood glucose levels. Giving a candy bar (
B) is not recommended as it may contain fats that slow down sugar absorption. Administering glucagon (
C) would be appropriate if the child is unconscious, which is not indicated in the question. Administering D5W intravenous fluids (
D) is not the first-line treatment for hypoglycemia in a conscious child.
Extract:
A nurse is admitting a school-age child who has osteomyelitis.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The nurse should first obtain a blood culture because it is crucial in identifying the causative organism in a suspected infection. This step helps guide appropriate antibiotic therapy promptly. Requesting a referral for physical therapy, administering IV antibiotics, and recording intake and output are important interventions, but obtaining a blood culture takes precedence in cases of suspected infection to ensure accurate and timely treatment.
Extract:
A nurse is assessing the coping skills of the guardian of a child who has a terminal cancer.
Question 3 of 5
Which of the following statements by the guardian demonstrates positive adjustment?
Correct Answer: B
Rationale: The correct answer is B because the guardian is actively seeking information on a new treatment option, showing proactive behavior and a willingness to explore different options for the child's well-being. This demonstrates positive adjustment by taking steps to improve the child's health.
Incorrect choices:
A: This statement reflects guilt and self-blame, indicating negative adjustment.
C: Keeping the child's diagnosis from the family may hinder support and communication, indicating maladaptive behavior.
D: Expressing uncertainty about caring for a dying child suggests a lack of preparedness and coping skills, indicating negative adjustment.
Extract:
A nurse is assessing a school-age child who is receiving cefazolin.
Question 4 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Nausea. Nurses should monitor for nausea as it is a common adverse effect of many medications and can impact a patient's well-being. Nausea can lead to decreased oral intake and affect medication adherence. Constipation (
B) and increased appetite (
D) are not typically considered adverse effects that nurses need to monitor. Hypertension (
C) may be monitored for certain medications, but it is not a general adverse effect to monitor for all patients.
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 5 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:
To determine the correct assessment findings associated with each condition for the 8-year-old child, we need to consider the typical symptoms of Hodgkin Lymphoma, Bacterial Meningitis, and Acute Lymphoblastic Leukemia .
1. Pain (Correct for Bacterial Meningitis): Bacterial Meningitis often presents with symptoms such as severe headache and neck stiffness, which can be interpreted as pain.
2. Lymph nodes (Correct for Hodgkin Lymphoma): Hodgkin Lymphoma is characterized by the painless enlargement of lymph nodes, particularly in the neck, armpits, or groin.
3. Skin (Correct for Bacterial Meningitis & ALL): Skin findings like petechiae or purpura may indicate meningococcal meningitis or ALL, as both conditions can present with skin manifestations.
4. Neurologic (Correct for Bacterial Meningitis): Neurologic symptoms like altered mental status, seizures, or focal deficits are