ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Reposition the client using a turning sheet. This action is essential to prevent pressure ulcers and maintain skin integrity in clients with a halo device. Repositioning helps redistribute pressure, improve circulation, and reduce the risk of skin breakdown. Encouraging neck flexion and extension (
A) can be harmful with a halo device. Assessing pin sites (
B) and tightening screws (
C) should be done by qualified healthcare providers to prevent complications.
Extract:
A nurse is caring for a child who has sickle cell anemia.
Question 2 of 5
Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Facial twitching. This finding is a potential sign of a neurological issue that may require immediate attention, such as a seizure or stroke. Enuresis, kyphosis, and constipation are important but not urgent concerns that can be addressed in a timely manner. Enuresis may indicate a urinary issue, kyphosis a spinal problem, and constipation a gastrointestinal issue. However, facial twitching suggests a more acute neurological issue that needs immediate assessment to prevent further complications.
Extract:
A nurse on a pediatric unit is caring for four children.
Question 3 of 5
The nurse should use droplet precautions for which of the following children?
Correct Answer: C
Rationale: The correct answer is C: A toddler who has seasonal influenza. Droplet precautions are used for infections transmitted through respiratory droplets. Seasonal influenza is a highly contagious respiratory illness spread through droplets.
Choice A (viral conjunctivitis) does not require droplet precautions as it is transmitted through direct contact with eye secretions.
Choice B (pediculosis capitis) is spread through direct head-to-head contact, not respiratory droplets.
Choice D (hepatitis
A) is transmitted through the fecal-oral route, not respiratory droplets.
Therefore, the correct choice is C as it aligns with the mode of transmission for droplet precautions.
Extract:
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever.
Question 4 of 5
Which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: A,D,E
Rationale: The correct laboratory tests to confirm the diagnosis are ASO titer, ESR, and CRP. ASO titer is used to detect antibodies against streptolysin O produced by Streptococcus bacteria, which helps diagnose streptococcal infections. ESR measures inflammation levels in the body, which can be elevated in various conditions including infections. CRP is a marker of inflammation and infection, so an elevated level can support the diagnosis. PTT is primarily used to evaluate blood clotting disorders, not specific for confirming this diagnosis. BUN is a measure of kidney function and not directly related to this diagnosis.
Extract:
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy.
Question 5 of 5
Which of the following assessment findings is the priority?
Correct Answer: B
Rationale: The correct answer is B because frequent swallowing could indicate airway obstruction, requiring immediate attention to prevent respiratory distress. Throat pain (
A) can be managed with pain relief. Refusing clear liquids (
C) can be addressed once airway is secured. Crying often (
D) may be due to discomfort but doesn't indicate immediate danger.