ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is caring for an adolescent who has major depressive disorder.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A. Asking the client if he is considering harming himself is the first action the nurse should take as it addresses the immediate safety of the client. This step is crucial in assessing the client's risk of self-harm or suicide, allowing for appropriate interventions to be implemented promptly. Encouraging the client to attend group therapy (
B) may be helpful but does not address the immediate safety concern. Administering an antidepressant (
C) is important but should come after assessing the client's safety. Assisting the client in completing ADLs (
D) is important for overall care but not the priority when safety is a concern.
Extract:
A school nurse is assessing a 7-year-old student.
Question 2 of 5
The nurse should identify which of the following findings as a potential indicator of physical abuse?
Correct Answer: C
Rationale: The correct answer is C: Bruising around the wrists. This finding is a potential indicator of physical abuse because bruises around the wrists can suggest that someone forcefully grabbed or restrained the individual. It may also indicate defensive injuries. Front deciduous teeth missing (
A) and weight in 45th percentile (
B) are not specific to physical abuse. Abrasions on the knees (
D) are more likely related to accidental falls or play.
Extract:
A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Ataxia. Ataxia refers to lack of muscle coordination, which is a common finding in a patient with a neurological disorder such as cerebellar dysfunction. Pinpoint pupils (
A) are associated with opioid overdose, hyperactive reflexes (
C) are seen in conditions like hyperthyroidism or central nervous system injury, and hypothermia (
D) may indicate sepsis or hypothyroidism.
Therefore, by process of elimination, ataxia is the most likely finding in this scenario.
Extract:
A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin.
Question 4 of 5
Which of the following laboratory values should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Creatinine 1.4 mg/dL (0.2 to 0.5 mg/dL). Creatinine levels outside the normal range indicate kidney dysfunction. A level of 1.4 mg/dL is elevated, suggesting impaired renal function. This should be reported to the provider for further evaluation and potential intervention.
Choices B, C, and D are within the normal range, so they do not require immediate reporting. BUN levels alone do not indicate kidney dysfunction, so choices C and D are not the correct answers. Reporting the abnormal creatinine value is crucial for early intervention and preventing further kidney damage.
Extract:
A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder.
Question 5 of 5
The nurse should teach the parents to take which of the following actions during a seizure?
Correct Answer: B
Rationale: The correct answer is B: Clear the area of hard objects. This action is important during a seizure to prevent injury to the child. Hard objects can pose a risk of causing harm if the child hits them during a seizure. Minimizing movement of the limbs (choice
A) is not as critical as removing potential hazards. Placing the child in a prone position (choice
C) can obstruct their breathing during a seizure. Inserting a tongue blade between the teeth (choice
D) can lead to further injury and is not recommended.
Therefore, clearing the area of hard objects is the most appropriate action to ensure the child's safety during a seizure.