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 caring for a child who is receiving conditioning therapy for enuresis.
Question 2 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.
Extract:
Question 3 of 5
A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: The correct answer is B: Shakiness. Hypoglycemia in a child with diabetes can lead to shakiness due to low blood sugar levels affecting the brain's function. Shakiness is a common symptom of hypoglycemia as the body tries to increase blood sugar levels. Decreased appetite (
A) is more indicative of hyperglycemia. Increased capillary refill (
C) and thirst (
D) are not specific manifestations of hypoglycemia.
Question 4 of 5
A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Keep electrical wires hidden from view. This is important to prevent toddlers from touching or playing with exposed wires, which can lead to electrical burns. By keeping wires hidden, the risk of burns from electrical accidents is minimized. Setting the water heater to 60°C (140°F) (choice
A) can actually increase the risk of scald burns. Turning pot handles toward the front of the stove (choice
B) can lead to accidental spills and burns. Encouraging outdoor activities between certain hours (choice
C) does not directly address burn prevention.
Extract:
A nurse is caring for a group of toddlers receiving digoxin therapy.
Question 5 of 5
For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: D
Rationale: The correct answer is D: A toddler who has vomited 2 times in the last hour. Vomiting in a toddler can lead to dehydration and electrolyte imbalances, which can be potentially life-threatening. The nurse should revise the plan of care to address the vomiting and ensure hydration.
Choice A: A toddler with a digoxin level of 1.2 ng/mL falls within the therapeutic range, so the plan of care does not need revision based on this alone.
Choice B: An apical pulse of 100/min may be within the normal range for a toddler, so it does not necessarily warrant a revision of the plan of care.
Choice C: A potassium level of 4.0 mEq/L is within the normal range, so the plan of care does not need revision based on this parameter.
In summary, the nurse should revise the plan of care for the toddler who has vomited multiple times in the last hour to prevent dehydration and electrolyte imbalances