ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is caring for an adolescent who is postoperative following epidural anesthesia.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Urinary retention. This finding is expected due to the anticholinergic effects of the medication, which can lead to decreased bladder contractility. Hypertension (choice
A) is not typically associated with this medication. Mild sedation (choice
B) is common with some medications but not necessarily expected in this case. Respiratory depression (choice
D) is a serious adverse effect but not a typical finding with this medication.
Extract:
A nurse is assessing the coping skills of the guardian of a child who has a terminal cancer.
Question 2 of 5
Which of the following statements by the guardian demonstrates positive adjustment?
Correct Answer: B
Rationale: The correct answer is B because the guardian is actively seeking information on a new treatment option, showing proactive behavior and a willingness to explore different options for the child's well-being. This demonstrates positive adjustment by taking steps to improve the child's health.
Incorrect choices:
A: This statement reflects guilt and self-blame, indicating negative adjustment.
C: Keeping the child's diagnosis from the family may hinder support and communication, indicating maladaptive behavior.
D: Expressing uncertainty about caring for a dying child suggests a lack of preparedness and coping skills, indicating negative adjustment.
Extract:
A nurse is caring for a preschooler who has a new diagnosis of celiac disease.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Pale, oily stools. This finding is indicative of malabsorption, possibly due to conditions like celiac disease or pancreatic insufficiency. Redcurrant, jelly-like stools (choice
A) may suggest intussusception. Increased hemoglobin level (choice
B) is not directly related to stool appearance. Hematemesis (choice
D) refers to vomiting blood, not stool characteristics.
Extract:
A nurse is assessing a school-age child who is receiving cefazolin.
Question 4 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Nausea. Nurses should monitor for nausea as it is a common adverse effect of many medications and can impact a patient's well-being. Nausea can lead to decreased oral intake and affect medication adherence. Constipation (
B) and increased appetite (
D) are not typically considered adverse effects that nurses need to monitor. Hypertension (
C) may be monitored for certain medications, but it is not a general adverse effect to monitor for all patients.
Extract:
Flow Sheet Day 1, 1030: Temperature 38.7° C (101.7° F), Heart rate 114/min, Respiratory rate 26/min, Blood pressure 114/80 mm Hg, SpO2 97% on room air; Day 2, 0730: Temperature 38.9° C (102° F), Heart rate 104/min, Respiratory rate 24/min, Blood pressure 104/80 mm Hg, SpO2 98% on room air; Nurses' Notes Day 2, 0730: Drowsy and lethargic, nuchal rigidity present, mucous membranes pink and moist, cervical lymph slightly enlarged, respirations regular, radial pulse 2+, capillary refill <2 seconds, good skin turgor.
Question 5 of 5
A nurse is caring for the child the following day. Click to highlight the findings that indicate the child is progressing as expected.
Correct Answer: A,C,D,E,F,G,
Rationale: The correct choices indicate positive progress in the child's condition. Pink and moist mucous membranes (
A) indicate adequate perfusion. A radial pulse 2+ bilateral (
C) signifies good circulation. Capillary refill <2 seconds (
D) indicates proper blood flow. Active bowel sounds (E) suggest normal gastrointestinal function. Warm and dry extremities (F) indicate adequate circulation. Good skin turgor (G) reflects proper hydration status. These findings collectively show the child is progressing as expected.
Choices B is incorrect as clear breath sounds alone do not indicate overall improvement.