ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Nurse's Notes (0700 hrs): The client reports a sudden onset of severe abdominal pain that started 4 hours ago. He describes the pain as sharp and constant, located in the upper right quadrant of the abdomen. The client has vomited twice in the past hour, with the vomitus being greenish in color. He denies any recent trauma or injury. The client appears anxious and is clutching his abdomen. He has a history of hypertension and is currently on medication for it. The client denies any known allergies; Physical Examination Results (0700 hrs): The client is alert and oriented but appears to be in significant distress. His skin is pale and diaphoretic. The abdomen is distended and tender to palpation, especially in the upper right quadrant. There is guarding and rebound tenderness noted. Bowel sounds are hypoactive. The client exhibits mild jaundice, with yellowing of the sclera. There are no visible signs of trauma or bruising on the abdomen; Vital Signs (0700 hrs): Temperature: 38.3°C (100.9°F), Pulse: 110 beats per minute, Respiratory Rate: 24 breaths per minute, Blood Pressure: 150/90 mm Hg, Oxygen Saturation: 95% on room air; A nurse is caring for a 45-year-old male client in the emergency department who presented with severe abdominal pain and vomiting.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Notify the healthcare provider immediately. This is the priority action because it involves seeking guidance from the healthcare provider to address the situation effectively. By notifying the healthcare provider, the nurse can ensure timely and appropriate intervention based on the client's condition. Administering pain medication (
A) can wait until the healthcare provider is informed. Preparing for an abdominal ultrasound (
B) and inserting a nasogastric tube (
C) are important but not urgent in this scenario.
Therefore, they can be done after notifying the healthcare provider.
Extract:
A nurse is caring for an infant who has necrotizing enterocolitis.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Rounded abdomen. In a pediatric patient with nephrotic syndrome, a rounded abdomen is a common finding due to ascites caused by hypoalbuminemia. This occurs because the kidneys lose protein, leading to fluid retention in the abdomen. Vomiting (
A) is not a typical finding in nephrotic syndrome. Hypertension (
B) is not a typical finding in nephrotic syndrome but rather can be seen in other renal disorders. Tachypnea (
D) is not a common finding in nephrotic syndrome unless there is severe fluid overload.
Extract:
Question 3 of 5
A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will ensure that my child is tested for tuberculosis every year." This statement indicates understanding because HIV-positive individuals are at higher risk for developing tuberculosis due to their compromised immune system. Annual testing is crucial for early detection and treatment.
Choice A is incorrect because zidovudine does not directly decrease the risk of transmission, but rather helps manage HIV.
Choice B is incorrect as childhood immunizations do not need to be repeated in remission unless specifically recommended by a healthcare provider.
Choice D is incorrect as there is no indication to double medications for the next 6 months.
Extract:
A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone.
Question 4 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Monitor your child for indications of infection. This statement is important because certain medications may weaken the immune system, increasing the risk of infections. Monitoring for signs of infection allows for early detection and treatment.
Choice B is incorrect because limiting potassium-rich foods is not typically necessary with this medication.
Choice C is incorrect as this medication does not typically stimulate a growth spurt.
Choice D is incorrect because discontinuing the medication without consulting a healthcare provider can be harmful.
Extract:
Question 5 of 5
A nurse is preparing to insert an IV into the arm of an infant. Which of the following types of restraint should the nurse use?
Correct Answer: A
Rationale: The correct answer is A: Swaddle wrap. This is the most appropriate type of restraint for an infant when inserting an IV because it allows for secure immobilization of the infant's arm without restricting circulation or causing discomfort. The swaddle wrap helps to keep the infant's arm in a stable position, making it easier for the nurse to insert the IV safely and effectively.
The other choices are incorrect:
B: Jacket - A jacket would not provide the necessary immobilization required for the infant's arm during the IV insertion.
C: Elbow - Restraining only the elbow would not be sufficient to prevent the infant from moving their arm during the procedure.
D: Hand mitts - Hand mitts would restrict movement of the hands but would not provide the necessary immobilization of the entire arm for the IV insertion.