ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is assessing a school-age child who has heart failure and is taking furosemide.
Question 1 of 5
Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: B
Rationale: Furosemide causes potassium loss, not increase. Reduced edema shows effective fluid reduction. Cardiac output should improve, not decrease. Venous pressure should decrease, not increase.
Extract:
A nurse is planning care for a preschooler who has neutropenia.
Question 2 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: Vaccines risk infection in neutropenia. Rectal temperatures can cause injury. Avoiding raw produce reduces infection risk from pathogens. Daily bathing is needed for hygiene.
Extract:
Which of the following best describes the purpose of obtaining consent?
Question 3 of 5
To ensure the patient understands the risks.
Correct Answer: A
Rationale: The primary purpose of obtaining consent is to ensure the patient understands the risks, benefits, and alternatives, respecting autonomy. Family permission is secondary, liability protection is not the main goal, and bypassing patient input contradicts informed consent principles.
Extract:
Nurse's Notes (0700 hrs): The client reports a sudden onset of severe abdominal pain that started 4 hours ago. He describes the pain as sharp and constant, located in the upper right quadrant of the abdomen. The client has vomited twice in the past hour, with the vomitus being greenish in color. He denies any recent trauma or injury. The client appears anxious and is clutching his abdomen. He has a history of hypertension and is currently on medication for it. The client denies any known allergies; Physical Examination Results (0700 hrs): The client is alert and oriented but appears to be in significant distress. His skin is pale and diaphoretic. The abdomen is distended and tender to palpation, especially in the upper right quadrant. There is guarding and rebound tenderness noted. Bowel sounds are hypoactive. The client exhibits mild jaundice, with yellowing of the sclera. There are no visible signs of trauma or bruising on the abdomen; Vital Signs (0700 hrs): Temperature: 38.3°C (100.9°F), Pulse: 110 beats per minute, Respiratory Rate: 24 breaths per minute, Blood Pressure: 150/90 mm Hg, Oxygen Saturation: 95% on room air; A nurse is caring for a 45-year-old male client in the emergency department who presented with severe abdominal pain and vomiting.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Pain relief is secondary to provider notification given signs of peritonitis. Ultrasound preparation follows provider orders. Nasogastric tube insertion needs authorization. Notifying the provider ensures urgent evaluation for a potentially life-threatening condition.
Extract:
A nurse is caring for a child who is receiving conditioning therapy for enuresis.
Question 5 of 5
Which of the following statements by the child's parent indicates the treatment is effective?
Correct Answer: C
Rationale: Holding urine may suggest retention, not progress. Kegels aren't primary for enuresis therapy. Responding to the alarm shows improved bladder control, indicating effectiveness. Reduced fluid intake isn't a treatment goal.