ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is admitting a school-age child who has osteomyelitis.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The nurse should first obtain a blood culture because it is crucial in identifying the causative organism in a suspected infection. This step helps guide appropriate antibiotic therapy promptly. Requesting a referral for physical therapy, administering IV antibiotics, and recording intake and output are important interventions, but obtaining a blood culture takes precedence in cases of suspected infection to ensure accurate and timely treatment.
Extract:
A nurse in a clinic is assessing an infant who has diarrhea, is lethargic, and has dry skin.
Question 2 of 5
Which of the following findings indicates moderate dehydration?
Correct Answer: D
Rationale: The correct answer is D: Capillary refill 3 seconds. In moderate dehydration, decreased circulating blood volume leads to delayed capillary refill time. This occurs because of reduced blood flow to the peripheries. A capillary refill time of 3 seconds indicates moderate dehydration.
Choice A (Decreased respiratory rate) is incorrect as it is more commonly associated with severe dehydration.
Choice B (Bulging anterior fontanel) is a sign of increased intracranial pressure, which is seen in severe dehydration.
Choice C (Mottled skin) is typically seen in shock or severe dehydration, not moderate dehydration.
In summary, the other choices are incorrect because they represent more severe signs of dehydration compared to the delayed capillary refill time of 3 seconds, which is indicative of moderate dehydration.
Extract:
A nurse is providing teaching about nutrition to the guardian of a school-age child who has lactose intolerance.
Question 3 of 5
The nurse should identify which of the following foods as the best source of calcium?
Correct Answer: A
Rationale: The correct answer is A: 1 cup raw broccoli. Broccoli is a high-calcium vegetable. It provides a good amount of calcium per serving, aiding in bone health. Raw broccoli retains more nutrients compared to cooked broccoli. The other choices are incorrect because: B: White bread lacks significant calcium content. C: One poached egg has minimal calcium. D: Peanut butter has negligible calcium content. E, F, G: No additional choices given.
Extract:
A nurse is teaching a parent of a toddler how to prepare for the arrival of their newborn sibling.
Question 4 of 5
Which of the following statements by the parent indicates to the nurse an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B because it demonstrates the parent's understanding of potential behavior changes in the toddler after the sibling's birth, such as seeking comfort from a pacifier. This statement shows awareness and preparedness for the toddler's emotional needs.
Choice A is incorrect as it doesn't address the toddler's emotional adjustment.
Choice C might create anxiety for the toddler as they may not fully comprehend the concept of time.
Choice D assumes the toddler's perception of the baby as a playmate, overlooking potential jealousy or insecurity issues.
Extract:
A nurse is assessing a school-age child who is receiving IV fluids to treat dehydration.
Question 5 of 5
Which of the following findings should indicate to the nurse that the fluid replacement therapy has been effective?
Correct Answer: A
Rationale: The correct answer is A: Capillary refill less than 2 seconds. This finding indicates effective fluid replacement therapy as it shows improved peripheral perfusion. A quick capillary refill time suggests that blood flow to the peripheral tissues is adequate, indicating proper circulation and hydration status. This is a direct and reliable indicator of fluid balance restoration.
Incorrect choices:
B: Elevated potassium levels indicate potential electrolyte imbalance, not fluid status.
C: Voiding less than 1 mL/kg/hr suggests inadequate renal perfusion, not necessarily improved fluid replacement.
D: Tachycardia can be a sign of hypovolemia or dehydration, not necessarily an indicator of effective fluid replacement.