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: A. Given the cloudy appearance of the cerebrospinal fluid (CSF) and elevated white blood cell count (WB
C) in the CSF, there may be an indication of meningitis. Ceftriaxone is a broad-spectrum antibiotic commonly used to treat bacterial meningitis. B. Vaccines prevent infections but are not immediate treatment. C. Glucose monitoring is not the priority over infection treatment. D. Neutropenic precautions are not indicated.
Extract:
Question 2 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: B. Nausea is a common adverse effect of morphine and should be monitored for, particularly in pediatric patients. A. Prolonged wound healing is not associated with morphine. C. Stevens-Johnson syndrome is not typical with morphine. D. Morphine is not commonly linked to renal failure.
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 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: B. This is a concerning finding indicating possible inadequate renal perfusion, especially considering the postoperative status of the toddler. A. Chest tube drainage of 22 mL/hour is expected. C. Skin temperature of 36°C is slightly low but not critical. D. Pulses of 2+ are adequate.
Extract:
Question 4 of 5
A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: C. Slurred speech in an adolescent with sickle cell anemia could indicate a neurological complication or a stroke, which requires immediate assessment and intervention. A, B, D. These are less urgent than a potential neurological issue.
Question 5 of 5
A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: A. Checking the pH of the gastric secretions is the priority action to confirm the correct placement of the NG tube in the stomach before administering the enteral feeding. B, C, D. These actions follow confirmation of tube placement.