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: The correct answer is D: Clear urine. Clear urine indicates proper hydration and kidney function, showing that the treatment has been effective in maintaining the body's fluid balance. Odorless urine (choice
A) is not a reliable indicator of treatment effectiveness. Temperature (choice
B) within normal range doesn't directly relate to treatment success. No pain with voiding (choice
C) is important but doesn't necessarily indicate treatment effectiveness. The focus should be on physiological changes like clear urine to assess treatment outcomes.
Extract:
A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs.
Question 2 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Infuse each unit of blood within 4 hr. This is crucial to prevent bacterial contamination and ensure blood product integrity. Storing blood at room temperature for too long (
A) can promote bacterial growth. Administering RBCs with non-filtered IV tubing (
C) can lead to potential infusion reactions due to the presence of microaggregates. Infusing dextrose 5% in water during packed RBC infusion (
D) can cause hemolysis due to the low osmolarity of the solution.
Extract:
A nurse is preparing to administer immunizations to a 5-year-old child who is up-to-date with the current immunization schedule.
Question 3 of 5
Which of the following immunizations should the nurse plan to administer?
Correct Answer: D
Rationale: The correct answer is D: Varicella. Varicella vaccine is recommended for children to prevent chickenpox caused by the varicella-zoster virus. Administering this vaccine helps protect individuals from contracting the disease, reducing the severity of symptoms and potential complications. Rotavirus (
A) is given to prevent severe diarrhea in infants. Hepatitis B (
B) is administered to prevent hepatitis B virus infection. Haemophilus influenzae type b (
C) vaccine is given to prevent bacterial infections caused by H. influenzae type b.
Extract:
A nurse is planning care for a child who has varicella.
Question 4 of 5
Which of the following interventions should the nurse plan to include?
Correct Answer: D
Rationale: The correct answer is D: Initiate airborne precautions. This is because the presence of Koplik spots in the oral cavity is a classic sign of measles, which is highly contagious through airborne droplets. Administering aspirin for fever is contraindicated in children with viral illnesses like measles due to the risk of Reye's syndrome. Providing a warm blanket is not directly related to managing measles. Initiation of airborne precautions is essential to prevent the spread of the measles virus to other individuals.
Extract:
A nurse is caring for a child who is receiving conditioning therapy for enuresis.
Question 5 of 5
Which of the following statements by the child's parent indicates the treatment is effective?
Correct Answer: C
Rationale: The correct answer is C because it indicates the desired behavior change in response to the treatment for bedwetting. Going to the bathroom when the alarm goes off shows that the child is responding to the alarm by waking up and emptying their bladder, which is the goal of the treatment. This behavior demonstrates that the child is becoming more aware of their bladder signals and is actively participating in the treatment process.
Choice A is incorrect as holding urine is not a recommended behavior and can lead to bladder issues.
Choice B is unrelated to the effectiveness of the treatment for bedwetting.
Choice D is also incorrect as drinking less can worsen bedwetting by reducing bladder capacity.