ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is prioritizing care for four clients.
Question 1 of 5
Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: C. Slurred speech in an adolescent with sickle cell anemia could indicate a neurological complication or a stroke, which requires immediate assessment and intervention. A, B, D. These are less urgent than a potential neurological issue.
Extract:
A nurse is caring for a child who has had a lumbar puncture.
Question 2 of 5
Which of the following complications should the nurse monitor the child for?
Correct Answer: C
Rationale: C. Headache is a common complication of lumbar puncture due to cerebrospinal fluid leakage. A. Nuchal rigidity suggests meningitis, not a puncture complication. B. Double vision is not typical. D. Iliac crest pain is unrelated.
Extract:
A nurse is teaching the parents of a child who has cystic fibrosis about home care following discharge.
Question 3 of 5
Which of the following statements should the nurse include?
Correct Answer: C
Rationale: C. Pancreatic enzyme replacement therapy with meals and snacks is essential for children with cystic fibrosis to aid in digestion and nutrient absorption due to pancreatic insufficiency. A. Chest x-rays are not routine home care. B.
Tonsillectomy is not standard for cystic fibrosis. D. Isoniazid is for tuberculosis, not cystic fibrosis.
Extract:
Infant was full-term at birth. Birth weight was 3.5 kg (7.7 lb). Infant is not gaining weight as expected. One week ago at outpatient visit, weight was 3.6 kg (7.9 lb). Parent reports for past 2 days infant is breathing faster during feedings and does not finish feedings. Parent also reports decreased appetite and puffiness around the infant's eyes. Parent states that the last wet diaper was about 10 hr ago. Infant admitted for diagnostic evaluation, failure to thrive, and nutritional/fluid support. Vital Signs Admission: Temperature 37.7° C (99.9° F), Heart rate 174/min while sleeping, Respiratory rate 72/min while sleeping. Assessment: Respirations: Tachypneic with moderate retractions and nasal flaring. Upon auscultation, crackles heard in all lung fields. No nasal drainage noted. Dry cough noted periodically. Skin: Pallor, scalp is diaphoretic, lower extremities are cool to touch. Cardiac: Tachycardic, regular rhythm, no murmur is heard. Peripheral pulses are full and bounding in the upper extremities and weak bilateral pedal pulses are noted. Fluids: Mucous membranes are slightly dry and pink. Skin turgor is slightly decreased. Capillary refill is 3 seconds. Noted periorbital edema and nonpitting edema of feet. Anterior fontanel is soft and slightly depressed. Diaper remains dry. Abdomen: Soft, full, round, bowel sounds are present and active. Blood pressure in right upper extremity 60/39 mm Hg, Oxygen saturation 90%. Laboratory Results: Chest x-ray: mild left ventricular hypertrophy is noted. Increased pulmonary vascular markings are noted in all lobes.
Question 4 of 5
Specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: C (Condition), A,B (Actions), B,C (Parameters)
Rationale: Condition: C. The condition that the infant is most likely experiencing is congestive heart failure, which can cause poor weight gain, tachypnea, decreased appetite, and periorbital edema. Actions: A. Digoxin can increase the contractility of the heart and decrease the heart rate. B. Elevating the head of the bed can help reduce the workload of the heart and improve breathing. Parameters: B. Intake and output can indicate fluid balance and renal function. C. Respiratory status can reflect cardiac function and oxygenation.
Extract:
A nurse is providing teaching to the parents of a child who has impetigo.
Question 5 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: A. Applying bactericidal ointment to lesions helps treat impetigo by killing the bacteria causing the infection. B. Acyclovir is for viral infections. C, D. These are not necessary for impetigo treatment.