ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is caring for a child who has sickle cell anemia.
Question 1 of 5
Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Facial twitching. This finding is a potential sign of a neurological issue that may require immediate attention, such as a seizure or stroke. Enuresis, kyphosis, and constipation are important but not urgent concerns that can be addressed in a timely manner. Enuresis may indicate a urinary issue, kyphosis a spinal problem, and constipation a gastrointestinal issue. However, facial twitching suggests a more acute neurological issue that needs immediate assessment to prevent further complications.
Extract:
A nurse is providing instructions about a 24-hour urine collection to an adolescent client.
Question 2 of 5
Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Discard the first voided specimen. This is important in order to obtain an accurate urine specimen for testing. By discarding the first voided specimen, the nurse can ensure that the sample is not contaminated by bacteria or other substances that may have collected in the urethra. Voiding every hour (
B) is unnecessary and may lead to overcollection. Saving the final specimen in a separate container (
C) is not necessary and may not provide any additional benefit. Cleansing the perineum with povidone-iodine solution prior to voiding (
D) is not standard practice and may introduce contaminants into the sample.
Extract:
A nurse is teaching a group of parents about childhood immunizations.
Question 3 of 5
The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?
Correct Answer: C
Rationale: The correct answer is C: Varicella. At 12 months of age, infants should receive the first dose of varicella (chickenpox) vaccine to protect them against this contagious disease. Varicella vaccine helps prevent severe complications and spread of the virus. Inactivated polio virus (choice
A) is typically given at 2 months of age. Hepatitis B (choice
B) vaccine is usually administered shortly after birth. Human papillomavirus (choice
D) vaccine is recommended for adolescents.
Therefore, varicella (choice
C) is the appropriate immunization for infants at 12 months of age.
Extract:
Question 4 of 5
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: A
Rationale: The correct answer is A: Clear urine. In poststreptococcal glomerulonephritis, the kidneys are inflamed leading to blood and protein in the urine, causing it to appear dark or cloudy. Clear urine indicates decreased inflammation and restoration of normal kidney function. No report of pain with voiding (
B) is not specific to evaluating kidney function. Odorless urine (
C) and normal temperature (
D) are not direct indicators of kidney improvement.
Question 5 of 5
A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: The correct position for a child undergoing a lumbar puncture is lateral. Placing the child in a lateral position allows for easier access to the spine while keeping the spine flexed. This position helps to open up the spaces between the vertebrae, making it safer and more efficient for the procedure. The prone position (choice
A) would not provide adequate access, the supine position (choice
C) would not allow for proper flexion of the spine, and the semi-Fowler's position (choice
D) is not ideal for a lumbar puncture.
Therefore, the lateral position is the most appropriate choice for this procedure.