ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy.
Question 1 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:
Question 2 of 5
A nurse is caring for a child who is 2 hr postoperative. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Comparing pedal pulses is crucial post-lower extremity surgery to detect compromised circulation, a priority to prevent complications.
Extract:
A nurse is caring for a child who is receiving conditioning therapy for enuresis.
Question 3 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:
A nurse is providing instructions about a 24-hour urine collection to an adolescent client.
Question 4 of 5
Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Discard the first voided specimen. This is important in order to obtain an accurate urine specimen for testing. By discarding the first voided specimen, the nurse can ensure that the sample is not contaminated by bacteria or other substances that may have collected in the urethra. Voiding every hour (
B) is unnecessary and may lead to overcollection. Saving the final specimen in a separate container (
C) is not necessary and may not provide any additional benefit. Cleansing the perineum with povidone-iodine solution prior to voiding (
D) is not standard practice and may introduce contaminants into the sample.
Extract:
Question 5 of 5
A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Monitor your child for indications of infection. Prednisone is an immunosuppressant medication that can increase the risk of infections. Teaching the parent to monitor for signs of infection is crucial for early detection and prompt treatment.
Choice B is incorrect because abruptly discontinuing prednisone can lead to withdrawal symptoms and worsening of the condition.
Choice C is incorrect as prednisone can cause low potassium levels, so limiting potassium-rich foods is not recommended.
Choice D is incorrect as prednisone can actually slow down growth in children.