ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia.
Question 1 of 5
Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: B
Rationale: The correct answer is B: RBC count 5/mm³ (4 to 5.5/mm³). A therapeutic effect in this case would be an improvement in the red blood cell count, indicating better oxygen-carrying capacity. Having a value within the normal range (4 to 5.5/mm³) is a positive sign of treatment efficacy.
Incorrect answers:
A: Hemoglobin 6.8 g/dL is low and indicates anemia, not a therapeutic effect.
C: WBC count of 15,000/mm³ is high, indicating infection or inflammation, not a therapeutic effect.
D: Platelet count of 98,000/mm³ is low and could indicate a clotting disorder, not a therapeutic effect.
Extract:
A nurse is assessing a 7-year-old child who has diabetes mellitus.
Question 2 of 5
Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Shakiness. Hypoglycemia is characterized by low blood sugar levels, leading to symptoms like shakiness, sweating, confusion, and dizziness. Shakiness occurs as a result of the brain not receiving enough glucose for energy production. Increased capillary refill (
A) is not typically associated with hypoglycemia. Decreased appetite (
B) and thirst (
C) are more commonly seen in conditions like hyperglycemia.
Therefore, the correct manifestation of hypoglycemia is shakiness due to inadequate glucose supply to the brain.
Extract:
A nurse is providing education to a client.
Question 3 of 5
Which of the following nonverbal techniques should the nurse use to enhance the importance of the education?
Correct Answer: C
Rationale: The correct answer is C: Smile, nod, touch the client's hand. This nonverbal technique enhances the importance of education by showing empathy, engagement, and support. Smiling conveys warmth and friendliness, nodding indicates understanding and attentiveness, and touching the client's hand can create a sense of connection and trust. These nonverbal cues help to build rapport and encourage the client to be more receptive to the information being shared.
Choice A is incorrect because checking messages on the cell phone is distracting and shows lack of interest.
Choice B is incorrect as crossing arms and avoiding eye contact can signal defensiveness or disinterest.
Choice D is incorrect as leaning over the chair may come across as too casual and unprofessional.
Extract:
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy.
Question 4 of 5
Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: A
Rationale: The correct answer is A: Continuous swallowing. This finding indicates hemorrhage because blood pooling in the throat triggers the swallowing reflex. Continuous swallowing may suggest blood loss and the need for further assessment. Blood pressure of 95/56 mm Hg (choice
B) is low but alone may not specifically indicate hemorrhage. A heart rate of 54/min (choice
C) may be bradycardia but does not definitively point to hemorrhage. Flushing of the face (choice
D) is not a typical sign of hemorrhage.
Extract:
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome.
Question 5 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Weigh the child once per day. This intervention is essential for monitoring the child's nutritional status and overall health. Daily weight checks can help detect changes in weight, which may indicate fluid retention, malnutrition, or other health issues. Increasing fluid intake to 2 L/day (
B) could be excessive for a child depending on age and weight. Positioning the child supine at bedtime (
C) may not be relevant to the plan of care. Limiting calorie intake to 45 cal/kg/day (
D) without proper assessment may not be suitable for the child's individual needs.