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: Obtaining a blood culture first identifies the causative organism before antibiotics alter results.
Extract:
Provider Prescriptions Day 1, 1020: Admit directly to pediatric unit, Keep child NPO, Obtain comprehensive metabolic panel and blood cultures STAT, Vital signs every 30 min, then every hr x 4, then every 4 hr; Diagnostic Results Day 1, 1040: Potassium 3.8 mEq/L (3.4 to 4.7 mEq/L), Hemoglobin 9.5 g/dL (10 to 15.5 g/dL), Hematocrit 30% (32% to 44%), RBC count 4.2 x 106/μL (4.0 to 5.5 x 10/μL), WBC count 14,000 mm3 (5,000 to 10,000 mm3), Platelets 350,000/mm3 (150,000 to 400,000/mm3), Glucose 90 mg/dL (< 200 mg/dL), Blood cultures pending
Question 2 of 5
A nurse is admitting an 8-year-old child to the pediatric unit. A nurse is reviewing the child's electronic medical record (EMR). Which of the following findings should the nurse identify as requiring immediate follow-up? Select the 5 findings.
Correct Answer: A,B,D,E,F
Rationale: Neurologic changes, low hemoglobin (9.5 g/dL), elevated WBC (14,000/mm³), abdominal issues, and fever (38.7°
C) indicate infection and require urgent follow-up.
Extract:
A nurse is assessing a child who has bacterial pneumonia.
Question 3 of 5
Which of the following findings should the nurse identify as a potential risk for aspiration?
Correct Answer: B
Rationale: Neurological deficits impair swallowing, increasing aspiration risk.
Extract:
A nurse is assessing a school-age child who is receiving cefazolin.
Question 4 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale: Nausea is a common gastrointestinal side effect of cefazolin, requiring monitoring.
Extract:
A nurse is performing a dressing change for a child and notices that the gauze dressing is adhering to the wound bed.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Saturating with saline prevents trauma to the wound bed during removal.