ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is assessing an infant who has congestive heart failure.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Tachypnea. In a patient experiencing pain or anxiety, tachypnea (increased respiratory rate) is a common finding due to the body's sympathetic response. This occurs as a result of increased levels of adrenaline and cortisol, leading to rapid breathing as the body prepares for "fight or flight." Increased urine output (
A) is not typically associated with pain or anxiety. Bradycardia (
B) and increased blood pressure (
C) are less likely findings in this situation, as the sympathetic response typically leads to increased heart rate and blood pressure.
Extract:
A nurse is providing teaching to an adolescent who has vulvovaginitis.
Question 2 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Apply a warm, moist compress three times per day. This statement should be included in teaching because it promotes wound healing by increasing blood flow and promoting drainage. A: Scented baby powder can cause irritation and should be avoided. C: Feminine deodorant pads can disrupt the natural pH balance of the vagina. D: Nylon underwear can trap moisture and lead to infection.
Extract:
A nurse is providing teaching to the guardian of an infant who has heart failure.
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Minimize the infant's environmental stimuli. This instruction is crucial for promoting infant sleep hygiene and reducing overstimulation. Excessive stimuli can disrupt the infant's sleep patterns, leading to sleep disturbances and irritability. By minimizing environmental stimuli, the infant is more likely to achieve restful sleep, which is essential for their growth and development.
Choice A (Place the infant in a supine position) is a safe sleep practice to reduce the risk of sudden infant death syndrome (SIDS), but it is not directly related to promoting sleep hygiene.
Choice B (Allow the infant to sleep through night feedings) is not recommended as infants often need to be fed during the night for proper nourishment and growth.
Choice D (Bathe the infant every day) is not necessary and can actually dry out the infant's skin, leading to irritation.
Extract:
Provider Prescriptions Day 1, 1020: Admit directly to pediatric unit, Keep child NPO, Obtain comprehensive metabolic panel and blood cultures STAT, Vital signs every 30 min, then every hr x 4, then every 4 hr; Diagnostic Results Day 1, 1040: Potassium 3.8 mEq/L (3.4 to 4.7 mEq/L), Hemoglobin 9.5 g/dL (10 to 15.5 g/dL), Hematocrit 30% (32% to 44%), RBC count 4.2 x 106/μL (4.0 to 5.5 x 10/μL), WBC count 14,000 mm3 (5,000 to 10,000 mm3), Platelets 350,000/mm3 (150,000 to 400,000/mm3), Glucose 90 mg/dL (< 200 mg/dL), Blood cultures pending
Question 4 of 5
A nurse is admitting an 8-year-old child to the pediatric unit. A nurse is reviewing the child's electronic medical record (EMR). Which of the following findings should the nurse identify as requiring immediate follow-up? Select the 5 findings.
Correct Answer: A,B,D,E,F
Rationale: The correct answer is A, B, D, E, and F. These findings are crucial for immediate follow-up due to their significance in assessing the child's overall health status and potential complications.
A: Neurologic assessment is vital to detect any neurological deficits or changes.
B: Hemoglobin level can indicate anemia or other blood disorders.
D: White blood cell count (WB
C) helps in identifying infection or inflammation.
E: Temperature abnormalities suggest infection or other serious conditions.
F: Abdominal assessment is necessary to detect any gastrointestinal issues.
Choices C and G are not as urgent as they do not directly indicate potential life-threatening conditions requiring immediate intervention.
Extract:
A nurse is reviewing the laboratory results of a school-age child who has glomerulonephritis.
Question 5 of 5
Which of the following laboratory findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Mild hematuria. This finding is expected in conditions like urinary tract infection or kidney stones, which can cause blood in the urine. Hyponatremia (
B) is low sodium in the blood, not a typical lab finding in these conditions. Absent urine protein (
C) is not commonly associated with urinary tract issues. Decreased blood potassium (
D) is more indicative of conditions like renal failure or certain medications. Hematuria is the most likely finding in this scenario, making it the correct choice.