ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is caring for a child who has had a lumbar puncture.
Question 1 of 5
Which of the following complications should the nurse monitor the child for?
Correct Answer: C
Rationale: The correct answer is C: Headache. This is because headache is a common complication that can occur in children for various reasons, such as infections, head injuries, or migraines. Monitoring for headaches is important as they could indicate underlying issues needing prompt attention.
A: Nuchal rigidity when standing is associated with meningitis, not a common complication in children.
B: Double vision is more likely related to eye problems rather than common complications in children.
D: Pain in the posterior iliac crest is typically not a common complication in children and may be more related to musculoskeletal issues.
Extract:
A nurse is teaching the parents of a child who has cystic fibrosis about home care following discharge.
Question 2 of 5
Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer is C because it provides essential information for a child with cystic fibrosis. Taking pancreatic enzymes with meals and snacks helps with digestion due to pancreatic insufficiency common in CF.
Choice A is incorrect as chest x-rays are not routinely done for CF monitoring.
Choice B is incorrect as tonsil and adenoid removal is not typically related to CF.
Choice D is incorrect as isoniazid is used for tuberculosis, not CF.
Extract:
A nurse is assessing a school-age child who is receiving cefazolin.
Question 3 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: C
Rationale: The correct answer is C: Stevens-Johnson syndrome. This is a severe skin reaction that can be caused by certain medications. Nurses should monitor for symptoms like rash, blisters, and mucous membrane involvement. Hypotension (
A) is a possible adverse effect but not specific to a particular condition. Prolonged wound healing (
B) is more related to factors like nutrition and diabetes. Bradypnea (
D) is slow breathing rate, which is not typically a common adverse effect to monitor for.
Extract:
A nurse is caring for a 5-year-old child who has nephrotic syndrome.
Question 4 of 5
Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: The correct answer is C because urine output of 256 mL over 8 hours indicates effective treatment for a patient with urinary issues, as it shows proper kidney function and hydration status. A: Odorless urine is a good sign but not a definitive indicator of treatment effectiveness. B: No pain with voiding is positive but does not confirm treatment success. D: Temperature within normal range is unrelated to urinary treatment outcomes.
Extract:
A charge nurse is observing a staff nurse who is caring for a child who has pertussis.
Question 5 of 5
Which of the following actions by the staff nurse indicates an understanding of infection control practices?
Correct Answer: A
Rationale: The correct answer is A because maintaining droplet precautions while the child is coughing and sneezing is essential to prevent the spread of infections through respiratory droplets. This action shows understanding of infection control practices by implementing necessary precautions in response to specific situations.
Choice B is incorrect because wearing a face mask upon entering the room may not be necessary unless the child is actively coughing or sneezing.
Choice C is incorrect as gloves should be worn for direct contact with bodily fluids, not just assisting a child to the bathroom.
Choice D is incorrect as airborne precautions with N95 respirator are not necessary for droplet precautions.