ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Increased fluids risk overload. Antiemetics need provider approval. Administer the next dose on schedule; don't repeat vomited doses. Mixing with large formula volumes affects absorption.
Extract:
Vital Signs at 0730: Tympanic temperature: 38.1°C (100.6°F), Heart rate: 95/min, Respiratory rate: 20/min; Vital Signs at 0800: Tympanic temperature: 38.2°C (101°F), Heart rate: 112/min, Respiratory rate: 24/min, Oxygen saturation: 96% on room air; Assessment Findings at 0800: Cough, Stridor, Irritability; Medical History: No known allergies, Up-to-date on vaccinations, History of frequent upper respiratory infections, No significant past medical history; Nurses Notes at 0900: The child appears increasingly irritable and is crying intermittently. The cough has become more frequent and is now accompanied by a hoarse voice. The child is refusing to eat or drink and appears fatigued. Parents report that the child had difficulty sleeping the previous night due to coughing. The child is observed to have nasal flaring and mild intercostal retractions. The child is sitting upright and leaning forward, appearing to be in mild respiratory distress. The skin is warm to touch, and the child is sweating; Physical Examination Results at 0900: Nasal flaring, Mild intercostal retractions, Hoarse voice, Sitting upright and leaning forward, Warm skin, Sweating; A nurse is caring for a 3-year-old child in the pediatric unit.
Question 2 of 5
Based on the exhibits provided, which of the following findings are consistent with the child's condition? Select all that apply.
Correct Answer: A,B,D
Rationale:
Choice A rationale: A hoarse voice is consistent with the child's condition. The child has a frequent cough and stridor, which can cause irritation and inflammation of the vocal cords, leading to a hoarse voice.
Choice B rationale: Nasal flaring is a sign of respiratory distress. It indicates that the child is working harder to breathe, which is consistent with the observed symptoms of stridor, cough, and mild intercostal retractions.
Choice C rationale: Increased appetite is not consistent with the child's condition. The child is refusing to eat or drink and appears fatigued, which is typical in cases of respiratory distress and illness.
Choice D rationale: Sitting upright and leaning forward is a common position adopted by children in respiratory distress. This position helps to open the airway and makes breathing easier.
Choice E rationale: Decreased respiratory rate is not consistent with the child's condition. The child's respiratory rate has increased from 20/min to 24/min, indicating increased effort to breathe due to respiratory distress.
Extract:
The RN reviews therapeutic and nontherapeutic communication techniques with a group of nursing students.
Question 3 of 5
Which of the following demonstrates the use of therapeutic communication techniques?
Correct Answer: B
Rationale: Sharing personal experiences shifts focus from the patient, making it nontherapeutic. Asking for a demonstration encourages engagement and education, a therapeutic approach. Offering false reassurance like 'you will be okay' or 'don't worry' dismisses concerns and is nontherapeutic.
Extract:
A nurse is reviewing the laboratory results of a preschool-age child who has iron deficiency anemia.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Ferrous sulfate treats iron deficiency anemia. Factor VII is for bleeding disorders. Soft toothbrushes are for low platelets, not anemia. Protective precautions aren't needed.
Extract:
A nurse is assessing a 7-year-old child who has diabetes mellitus.
Question 5 of 5
Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: Increased capillary refill suggests poor circulation, not hypoglycemia. Decreased appetite is not typical; hypoglycemia often increases hunger. Thirst is linked to hyperglycemia. Shakiness results from adrenaline release during low blood sugar, a hallmark of hypoglycemia.