ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is assessing an 18-month-old toddler during a well-child visit.
Question 1 of 5
Which of the following findings should the nurse identify as a potential developmental delay?
Correct Answer: B
Rationale: The correct answer is B: Walks with assistance. Walking independently is a milestone typically achieved around 12-15 months. Walking with assistance beyond this age may indicate a developmental delay in gross motor skills. Engaging in parallel play (
A) is typical for toddlers. Speaking at least 10 words (
C) is a language development milestone. Building a tower of 3 blocks (
D) is a fine motor skill milestone. The absence of other choices indicates they are not relevant to developmental delays.
Extract:
Question 2 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicates the treatment is effective?
Correct Answer: D
Rationale: The correct answer is D because holding urine for about 15 minutes before going to the bathroom is an indication of improved bladder control, which is the goal of conditioning therapy for enuresis. This demonstrates that the child is developing the ability to delay urination, a key aspect of the treatment.
Choice A is incorrect because going to the bathroom immediately when the alarm goes off does not show improved bladder control.
Choice B is incorrect as drinking less may not necessarily indicate treatment effectiveness.
Choice C is incorrect as Kegel exercises are not typically part of conditioning therapy for enuresis.
Extract:
History and Physical: School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamin A, D, E, and K. Barrel-shaped chest, Clubbing of the fingers bilaterally, Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough. Vital Signs: Temperature 38.4° C (101.1° F), Heart rate 100/min, Respiratory rate 40/min, Blood pressure 100/57 mm Hg. Laboratory Results: Sputum culture positive for Pseudomonas aeruginosa, Stool analysis positive for presence of fat and enzymes, Chest x-ray indicates obstructive emphysema, WBC count 20,000/mm3 (5,000 to 10,000/mm3).
Question 3 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
Correct Answer: B,D,E
Rationale: The correct answers are B (Dornase alfa), D (Water-soluble vitamins), and E (Pancreatic lipase). Dornase alfa is used in cystic fibrosis, water-soluble vitamins are commonly prescribed for children for overall health, and pancreatic lipase is used in pancreatic insufficiency. Meperidine is not typically prescribed for children due to safety concerns. Acetaminophen is a common over-the-counter medication that may or may not be on the home medication list. The nurse should not expect the provider to prescribe or reconcile meperidine, acetaminophen, or other unspecified medications from the list.
Extract:
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation.
Question 4 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Ensure two nurses logroll the adolescent every 2 hours. This is essential post-surgery to prevent complications such as pressure ulcers and maintain proper body alignment. It ensures even distribution of pressure and reduces the risk of musculoskeletal injuries. Option A is incorrect as early ambulation may not be safe 12 hours post-surgery. Option C is not as crucial as logrolling for preventing complications. Option D is incorrect as oral intake should be cautiously initiated.
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.