ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A, observing the child's throat with a flashlight. This is the first action the nurse should take to assess for any signs of inflammation, redness, or pus in the throat, which could indicate a possible infection like strep throat. This initial assessment will help guide further interventions. Giving the child small sips of water (
B) may be appropriate after assessing the throat but should not be the first action. Administering an analgesic (
C) or offering an ice collar (
D) without assessing the throat first may mask symptoms and delay proper treatment.
Extract:
A nurse is assessing a child who has heart failure.
Question 2 of 5
Which of the following findings is a clinical manifestation associated with this diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Tachypnea. Tachypnea, or rapid breathing, is a common clinical manifestation associated with various medical conditions, including respiratory distress, fever, and metabolic disorders. In this case, tachypnea may indicate a potential respiratory issue or underlying pathology related to the diagnosis being considered. Tremors (
B) and increased appetite (
C) are not typically associated with this diagnosis and may suggest alternative conditions. Bradycardia (
D), or slow heart rate, is also not a common clinical manifestation of this diagnosis.
Extract:
A nurse is caring for a school-age child who has diabetes mellitus.
Question 3 of 5
Which of the following findings should the nurse recognize as being consistent with hyperglycemia?
Correct Answer: D
Rationale: The correct answer is D: Thirst. Hyperglycemia is characterized by high blood sugar levels, causing increased thirst as the body tries to dilute the excess glucose by increasing fluid intake. Sweating (
A), tremors (
B), and pallor (
C) are not typically associated with hyperglycemia. Sweating and tremors are more commonly seen in hypoglycemia, while pallor may indicate other underlying conditions. Thirst, on the other hand, is a classic symptom of hyperglycemia due to the body's response to elevated blood sugar levels.
Extract:
A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. The child's parents ask for information on hemodialysis.
Question 4 of 5
Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C because hemodialysis uses an artificial membrane outside the body to clean the patient's blood. This process involves the blood being filtered through a machine that contains a semipermeable membrane, allowing waste products and excess fluids to be removed.
Choice A is incorrect because the abdominal cavity is not used as a membrane in hemodialysis.
Choice B is incorrect as hemodialysis does not involve using an electrolyte solution to clean the blood.
Choice D is incorrect because hemodialysis involves periodically filtering the blood, not continuously.
Therefore, the nurse should make statement C to accurately explain the process of hemodialysis.
Extract:
A nurse is teaching home care to the parents of a preschool-age child who has heart failure.
Question 5 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A. Provide for periods of rest.
Rationale: Rest is essential for children with cyanotic congenital heart disease to conserve energy and reduce oxygen demand on the heart. This can help prevent episodes of cyanosis and reduce the risk of complications. Providing periods of rest allows the child to recover from physical exertion and helps maintain stable oxygen levels.
Incorrect
Choices:
B. Increasing oxygen flow rate until the child no longer has cyanosis is not appropriate as it can lead to oxygen toxicity and potential harm to the child.
C. Withholding digoxin if the child's pulse is greater than 100/min is incorrect as digoxin is typically indicated for heart conditions and should not be withheld based solely on heart rate.
D. Weighing the child once each month is not directly related to managing cyanotic congenital heart disease and may not be as crucial as providing periods of rest.