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: Continuous swallowing suggests blood in the throat, indicating possible hemorrhage post-tonsillectomy, requiring urgent attention. Normal blood pressure, low heart rate, or flushing are not specific to bleeding.
Extract:
A nurse is caring for a newly admitted child.
Question 2 of 5
Which members of the interprofessional team should the nurse initiate a referral to?
Correct Answer: A
Rationale: A dietitian assesses nutritional needs, critical for a new admission. Occupational, physical, or speech therapists may be needed later, but nutrition is the initial priority.
Extract:
The RN reviews therapeutic and nontherapeutic communication techniques with a group of nursing students.
Question 3 of 5
Which of the following demonstrates the use of therapeutic communication techniques?
Correct Answer: B
Rationale: Sharing personal experiences shifts focus from the patient, making it nontherapeutic. Asking for a demonstration encourages engagement and education, a therapeutic approach. Offering false reassurance like 'you will be okay' or 'don't worry' dismisses concerns and is nontherapeutic.
Extract:
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea.
Question 4 of 5
Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: B
Rationale: High-sugar juice or applesauce can worsen diarrhea. Soup may be too heavy. Oral electrolyte solution prevents dehydration and restores electrolytes, ideal for diarrhea.
Extract:
Nurses' Notes (0700 hrs): 7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor. The child appears uncomfortable and is frequently shifting positions in bed. The client has been crying intermittently and is reluctant to drink fluids. The guardian mentions that the child has been more irritable and has a decreased appetite. The child has a history of recurrent UTIs, with the last episode occurring 6 months ago; Vital Signs (0715 hrs): Heart rate: 80/min, Temperature: 38°C (100.4°F), Respiratory rate: 22/min, Blood pressure: 106/65 mm Hg; A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI) in the pediatric unit.
Question 5 of 5
For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Finding | Anticipated | Contraindicated |
|---|---|---|
| Advise child's guardian about the use of sunscreen | ||
| Educate the child about proper perineal hygiene | ||
| Administer salicylic acid for pain and fever | ||
| Ensure the child receives a maximum of 1,200 mL/day of fluid | ||
| Administer sulfamethoxazole and trimethoprim |
Correct Answer: B,E
Rationale: Advise child's guardian about the use of sunscreen: This intervention is contraindicated as it is not relevant to the child's current condition of a UTI. Educate the child about proper perineal hygiene: This intervention is anticipated as proper perineal hygiene is crucial in preventing recurrent UTIs. Administer salicylic acid for pain and fever: This intervention is contraindicated as salicylic acid is not typically used for pain and fever management in children with UTIs. Acetaminophen or ibuprofen is more appropriate. Ensure the child receives a maximum of 1,200 mL/day of fluid: This intervention is contraindicated as adequate fluid intake is essential for flushing out bacteria from the urinary tract. Restricting fluids is not appropriate. Administer sulfamethoxazole and trimethoprim: This intervention is anticipated as sulfamethoxazole and trimethoprim are commonly prescribed antibiotics for treating UTIs in children.