ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Restraint prescriptions need renewal every 24 hours. Tying to side rails risks injury; use the bed frame. Quick-release knots ensure safety. Assessments should occur every 2 hours, not 4, for safety.
Extract:
A nurse on a pediatric unit is caring for four children.
Question 2 of 5
The nurse should use droplet precautions for which of the following children?
Correct Answer: C
Rationale: Conjunctivitis and lice spread by contact, hepatitis A by fecal-oral route. Influenza requires droplet precautions due to respiratory droplet transmission.
Extract:
A nurse is preparing to administer an IM injection to a 3-year-old child.
Question 3 of 5
Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Bribing for no crying adds pressure. Vague promises of 'fixing' are misleading. Offering a choice empowers the child, reducing anxiety. Minimizing pain as a 'little stick' may undermine trust.
Extract:
A nurse is providing education to a client.
Question 4 of 5
Which of the following nonverbal techniques should the nurse use to enhance the importance of the education?
Correct Answer: C
Rationale: Visible phone use signals distraction. Crossed arms and no eye contact seem defensive. Smiling, nodding, and touching convey warmth and attentiveness, enhancing education. Leaning casually may appear unengaged.
Extract:
Medical History (0930): Three urinary tract infections over the past year treated with antibiotics. Diagnosed at 6 months old with vesicoureteral reflux; Vital Signs (0930): Heart rate: 128/min, Temperature: 38.4°C (101.1°F), Respiratory rate: 28/min; Nurse's Notes (0930): Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hours. Child febrile and lethargic. Notified provider of parent reports and child's fever. New prescriptions received. Urine sample obtained via sterile straight catheter; Diagnostic Results (1030): Urinalysis: Leukocyte esterase: positive (negative), Specific gravity: 1.035 (1.005 to 1.030), Appearance: cloudy and dark amber (clear), Nitrites: present (none), WBCs: 10 (0 to 4); Provider Prescriptions (0945): Obtain urine sample for urinalysis and culture and sensitivity via sterile straight catheter; A nurse in a provider's office is caring for a 1-year-old toddler.
Question 5 of 5
The child is at risk for developing _______and__________ .
Correct Answer: A,C
Rationale:
Choice A rationale: Pyelonephritis is a type of urinary tract infection (UTI) that affects the kidneys. The toddler's history of multiple UTIs and current symptoms suggest a risk for kidney involvement.
Choice B rationale: Polycystic kidney disease is a genetic disorder not associated with recurrent UTIs.
Choice C rationale: Renal scarring can occur from recurrent UTIs and vesicoureteral reflux, impairing kidney function.
Choice D rationale: Nephrotic syndrome is not typically linked to UTIs or reflux.
Choice E rationale: Acute glomerulonephritis is not commonly associated with recurrent UTIs.