ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is assessing a 7-year-old child who has diabetes mellitus.
Question 1 of 5
Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Shakiness. Hypoglycemia is characterized by low blood sugar levels, leading to symptoms like shakiness, sweating, confusion, and dizziness. Shakiness occurs as a result of the brain not receiving enough glucose for energy production. Increased capillary refill (
A) is not typically associated with hypoglycemia. Decreased appetite (
B) and thirst (
C) are more commonly seen in conditions like hyperglycemia.
Therefore, the correct manifestation of hypoglycemia is shakiness due to inadequate glucose supply to the brain.
Extract:
Nurses' Notes: 0700: 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. Vital Signs: 0715: Temperature 38 C (100.4 F), Heart rate 80/min, Respiratory rate 22/min, Blood pressure 106/65 mm Hg. 0930: Temperature 38.4 C (101.1 F), Heart rate 90/min, Respiratory rate 23/min, Blood pressure 105/65 mm Hg. Provider Prescription: Sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO, Salicylic acid 20 mg/kg/dose every 4 hr as needed for pain and fever.
Question 2 of 5
For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Intervention | Anticipated |
|---|---|
| Administer Sulfamethoxazole and trimethoprim | |
| Advise child's guardian about the use of sunscreen | |
| Administer salicylic acid for pain and fever | |
| Ensure the child receives a maximum of 1,200 mL/day of fluid | |
| Educate the child about proper perineal hygiene |
Correct Answer: A,B,E
Rationale: A: Sulfamethoxazole and trimethoprim treat the UTI. B: Sunscreen is advised due to photosensitivity from the antibiotic. E: Perineal hygiene prevents recurrent UTIs. Contraindicated: C: Salicylic acid risks Reye's syndrome. D: Fluid restriction is inappropriate; increased fluids help flush bacteria.
Extract:
A nurse is teaching a group of parents about childhood immunizations.
Question 3 of 5
The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?
Correct Answer: C
Rationale: The correct answer is C: Varicella. At 12 months of age, infants should receive the first dose of varicella (chickenpox) vaccine to protect them against this contagious disease. Varicella vaccine helps prevent severe complications and spread of the virus. Inactivated polio virus (choice
A) is typically given at 2 months of age. Hepatitis B (choice
B) vaccine is usually administered shortly after birth. Human papillomavirus (choice
D) vaccine is recommended for adolescents.
Therefore, varicella (choice
C) is the appropriate immunization for infants at 12 months of age.
Extract:
A nurse is caring for a school-age child who weighs 20 kg (44 lb) and is postoperative with chest tubes in place.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Chest tube drainage of 200 mL in 1 hr. This finding indicates excessive drainage which could be a sign of hemorrhage or other complications. The nurse should report this to the provider immediately for further assessment and intervention to prevent further complications.
A: Serous chest tube drainage is a normal finding and does not require immediate reporting.
C: Fluctuation in the water-sealed chamber is a normal finding indicating proper functioning of the chest drainage system.
D: Respiratory rate of 22/min is within normal range and does not require immediate provider notification.
Overall, choice B is the correct answer as it signifies a potentially serious issue that needs prompt attention.
Extract:
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia.
Question 5 of 5
Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: B
Rationale: The correct answer is B: RBC count 5/mm³ (4 to 5.5/mm³). A therapeutic effect in this case would be an improvement in the red blood cell count, indicating better oxygen-carrying capacity. Having a value within the normal range (4 to 5.5/mm³) is a positive sign of treatment efficacy.
Incorrect answers:
A: Hemoglobin 6.8 g/dL is low and indicates anemia, not a therapeutic effect.
C: WBC count of 15,000/mm³ is high, indicating infection or inflammation, not a therapeutic effect.
D: Platelet count of 98,000/mm³ is low and could indicate a clotting disorder, not a therapeutic effect.