ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is caring for a child who is to receive the first dose of IV gentamicin.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Maintain strict I&O. This is essential to monitor the patient's fluid balance accurately, crucial in preventing complications such as dehydration or fluid overload. Monitoring intake and output helps assess renal function and fluid status.
Choices A, C, and D are incorrect. A - Monitoring for constipation is important but not the priority in this scenario. C - Initiating airborne precautions is not relevant to maintaining fluid balance. D - Encouraging bed rest is not appropriate without knowing the patient's condition, as some patients may need mobility for circulation and respiratory function.
Extract:
A nurse is assessing a child who has bacterial pneumonia.
Question 2 of 5
Which of the following findings should the nurse identify as a potential risk for aspiration?
Correct Answer: B
Rationale: The correct answer is B: Neurological deficit. Neurological deficits can impair the ability to protect the airway and coordinate swallowing, increasing the risk of aspiration. Elevated temperature (
A) does not directly indicate aspiration risk. Inspiratory wheezing (
C) suggests airway narrowing but not necessarily aspiration risk. Rapid respirations (
D) can be a sign of respiratory distress, but not specifically aspiration risk.
Extract:
A nurse is providing teaching about home care to a parent of a 3-year-old child who has a fever.
Question 3 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Apply a light blanket if the child begins to shiver. This instruction is appropriate as shivering indicates the child is cold, and using a light blanket can help regulate their body temperature. B is incorrect as waking a child every 4 hours to drink apple juice may disrupt their sleep cycle. C is incorrect because taking the child's temperature every 10 minutes after acetaminophen administration is excessive and not necessary. D is incorrect as placing ice packs on the child's armpits and groin can lead to hypothermia and should not be done.
Extract:
A nurse is providing preoperative teaching for a 9-year-old child who is scheduled for a tonsillectomy.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because using simple diagrams helps enhance understanding, especially for visual learners. It aids in clear communication and comprehension of the procedure.
Choice B, indicating on a stuffed animal, only provides a vague representation.
Choice C, providing teaching immediately before, may not allow enough time for processing.
Choice D, discussing benefits, is important but not the immediate action needed for clarity.
Extract:
Flow Sheet Day 1, 1030: Temperature 38.7° C (101.7°F), Heart rate 114/min, Blood pressure 114/80 mm Hg, Respiratory rate 26/min, SpO2 97% on room air, Height 122 cm (48 in), Weight 29 kg (64 lb); Nurses' Notes Day 1, 1020: Child is a direct admit from a pediatric clinic with fever, chills, irritability for 2 days, prior URI 2 weeks ago, no prior conditions, fully immunized. 1030: Child reports nausea, headache (7/10), lethargic, nuchal rigidity, capillary refill 4 seconds.
Question 5 of 5
A nurse is admitting an 8-year-old child to the pediatric unit. Select 1 condition and 1 client finding to fill in each blank in the following sentence: The nurse should anticipate a provider's prescription for ___ due to the child's ___.
Correct Answer: A
Rationale: The correct answer is A: Initiating airborne precautions due to WBC. The rationale is as follows:
1. The mention of "WBC" indicates a potential infectious condition, which may require airborne precautions to prevent transmission.
2. Airborne precautions are typically indicated for diseases like tuberculosis or measles, which can be spread through respiratory droplets.
3. In pediatric units, children are more susceptible to infections, making it crucial to implement appropriate precautions.
4. Initiating airborne precautions based on WBC levels aligns with infection control practices to protect both the child and others in the unit.
In summary, choice A is correct because it addresses the potential infectious nature of the child's condition, while the other options do not directly relate to the need for precautions based on laboratory findings or clinical assessment.