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: Tachypnea occurs in CHF due to pulmonary congestion from fluid overload.
Extract:
A nurse is performing a dressing change for a child and notices that the gauze dressing is adhering to the wound bed.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Saturating with saline prevents trauma to the wound bed during removal.
Extract:
A nurse is caring for an 8-month-old infant who has received a bolus of IV fluid for hypovolemic shock.
Question 3 of 5
Which of the following findings indicates the treatment was effective?
Correct Answer: D
Rationale: Capillary refill of 2 seconds shows restored perfusion, indicating effective treatment.
Extract:
A nurse is providing teaching to the parent of a school-age child who has diabetes mellitus about managing diabetes during illness.
Question 4 of 5
Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: B
Rationale: Increasing fluids prevents dehydration during illness, showing understanding.
Extract:
Vital Signs 0900: Temperature 37° C (98.6° F), Heart rate 90/min, Respiratory rate 22/min, Blood pressure 110/70 mm Hg, Oxygen saturation 96% on room air; 1000: Temperature 37.3°C (99.7° F), Heart rate 98/min, Respiratory rate 25/min, Blood pressure 120/74 mm Hg, Oxygen saturation 96% on room air; Laboratory Results 1000: WBC count 9,500/mm3 (5,000 to 10,000/mm3), Hgb 9 g/dL (10 to 15.5 g/dL), Hct 18% (32% to 44%), Platelets 450,000/mm3 (150,000 to 400,000/mm3); Nurses' Notes 0900: Child admitted to unit in vaso-occlusive crisis. Child reports pain in the right knee as 7 on a scale of 0 to 10. Right knee is swollen and warm to the touch. Pulses are +2 and capillary refill 2 seconds in all extremities. 1000: Notified provider regarding laboratory results. Child reports pain in the right knee is now 10 on a scale of 0 to 10.
Question 5 of 5
A nurse is caring for a 12-year-old client who has sickle cell disease. Complete the following sentence by using the lists of options: The nurse should anticipate a provider prescription for ___ due to the child's ___.
Correct Answer: A
Rationale: Severe pain (10/10) in vaso-occlusive crisis requires IV hydromorphone for effective management. No dehydration, fever, or hypoxia noted.