ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Cerebrospinal fluid: Pressure: 22 cm H2O (less than 20 cm H2O), Color: Cloudy (clear or colorless), Blood: None (none), Cells RBC: 0 (0), WBC: 36 cells/mcL (0 to 30 cells/mcL), Protein: 92 mg/dL (up to 70 mg/dL), Glucose: 36 mg/dL (50 to 75 mg/dL), Serum glucose: 64 mg/dL (60 to 100 mg/dL).
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse to take is to administer ceftriaxone (choice
A). This is the correct answer because ceftriaxone is an antibiotic commonly used to treat bacterial infections, especially in cases of suspected sepsis or meningitis. Administering it promptly can help prevent the spread of infection and improve the patient's condition.
The other choices are incorrect because:
B: Administering a pneumococcal conjugate vaccine is not the immediate priority in this scenario where treatment for an existing infection is needed.
C: Initiation of serum glucose testing every 1 hr is not indicated without further context or rationale provided in the question.
D: Initiating neutropenic precautions is not necessary based on the information provided and is not a direct action to address the immediate issue at hand.
Extract:
A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 lb) and is postoperative following open heart surgery.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Urine output of 15 mL in the last 2 hr. This finding indicates oliguria, which can be a sign of decreased kidney function or dehydration, requiring immediate attention. In contrast, option A is within normal parameters for chest tube drainage, C reflects normal skin temperature, and D indicates normal pulses. Reporting option B is crucial to prevent further complications.
Extract:
Question 3 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Nausea. Morphine, an opioid analgesic, commonly causes gastrointestinal side effects such as nausea. The nurse should monitor for nausea as it can lead to vomiting, dehydration, and poor oral intake. Prolonged wound healing (
A) is not a typical adverse effect of morphine. Stevens-Johnson syndrome (
C) is a severe skin reaction usually caused by medications other than morphine. Renal failure (
D) is not a common adverse effect of morphine; however, it can occur in patients with pre-existing kidney issues or when morphine is used in high doses for a prolonged period.
Question 4 of 5
A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect? Select all that apply.
Correct Answer: A,D,E
Rationale: The correct findings to expect in a school-age child with heart failure are Cyanosis (
A), Dyspnea (
D), and Tachycardia (E). Cyanosis occurs due to poor oxygenation, Dyspnea is a common symptom of heart failure, and Tachycardia is the body's compensatory response to the decreased cardiac output. Weight loss (
B) is less likely as heart failure often causes fluid retention and weight gain. Bounding peripheral pulses (
C) are more indicative of conditions like hypertension or hyperthyroidism rather than heart failure.
Therefore, A, D, and E are the most relevant findings in this scenario.
Question 5 of 5
A nurse is providing teaching to the parent of a school-age child who has a maintenance prescription for prednisone following an acute asthma attack. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "My child might experience mood swings." This statement indicates an understanding of the side effects of prednisone, which can include mood swings due to its impact on hormone levels. Mood swings are a common side effect of corticosteroids like prednisone.
Incorrect choices:
B: Taking the child for a weekly blood test is unnecessary for maintenance prednisone therapy.
C: Withholding medication before physical activity can be dangerous and is not recommended for maintenance therapy.
D: Prednisone can cause increased appetite rather than decreased appetite in some individuals.
In summary, understanding the potential side effects of prednisone, such as mood swings, is crucial for the parent to ensure proper monitoring and management of their child's health.