ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis.
Question 1 of 5
Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: D
Rationale: Odorless urine, normal temperature, and no pain aren't specific to APSGN recovery. Clear urine indicates resolved hematuria, a sign of effective treatment.
Extract:
A nurse is assessing a child who is 2 hours postoperative following a cardiac catheterization and finds the dressing is saturated with blood.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Reinforcing delays bleeding control. Applying pressure above the site stops bleeding first. Vital signs and pulse checks follow after controlling hemorrhage.
Extract:
A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs.
Question 3 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Blood shouldn't stay at room temperature over 30 minutes. Infuse within 4 hours to avoid contamination. Use filtered tubing to prevent clots. Dextrose can cause hemolysis; use saline.
Extract:
A nurse is working in a nursing home.
Question 4 of 5
What is the first priority for the nurse in this situation?
Correct Answer: A
Rationale: Moving patients from harm ensures immediate safety, the top priority in a fire. Removing flammables or extinguishing fires is secondary. Reporting to the fire area risks safety. Full evacuation may follow after initial safety measures.
Extract:
Nurse's Notes (0700hrs): The child is a 7-year-old male admitted with a history of chronic respiratory issues. The child presents with a persistent cough producing thick, greenish sputum. The mother reports that the child has had difficulty gaining weight despite a good appetite. The child appears fatigued and has been experiencing frequent respiratory infections. The child is currently on oxygen therapy at 2 liters per minute via nasal cannula. The mother also mentions that the child has large, greasy stools and frequent abdominal pain. The child is alert but appears tired and is cooperative during the examination; Physical Examination Results (0700hrs): The child has a barrel-shaped chest and clubbing of the fingers. Breath sounds are diminished bilaterally with crackles and wheezes noted throughout all lung fields. The abdomen is distended with hyperactive bowel sounds. The skin is dry with poor turgor, and there are multiple bruises on the lower extremities. The child has a thin, frail appearance with visible ribs and muscle wasting. The child's lips are slightly cyanotic, and there is nasal flaring observed during respiration. The child's extremities are cool to the touch; Vital Signs (0700hrs): Temperature: 38.2°C (100.8°F), Heart rate: 110/min, Respiratory rate: 32/min, Blood pressure: 95/60 mm Hg, Oxygen saturation: 92% on 2L O2 via nasal cannula; A nurse is caring for a school-age child in the pediatric unit.
Question 5 of 5
Correct Answer: D
Rationale: Increasing the oxygen flow rate to 4 liters per minute may improve oxygenation temporarily, but it does not address the underlying cause of the child's respiratory distress. Additionally, increasing oxygen flow without a provider's order can be unsafe. Administering a bronchodilator as prescribed can help relieve bronchospasm and improve airflow. However, it is essential to notify the provider first to ensure that the bronchodilator is appropriate for the child's current condition. Encouraging the child to drink more fluids is important for hydration, especially if the child has a fever and dry skin. However, it is not the most immediate action needed to address the child's respiratory distress. Notifying the provider of the child's condition is the correct answer. The child is showing signs of respiratory distress, including nasal flaring, cyanosis, and increased respiratory rate. Promptly informing the provider ensures that appropriate medical interventions can be initiated to stabilize the child's condition.