ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 lb) and is postoperative following open heart surgery.
Question 1 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B. A urine output of 15 mL in the last 2 hours should be reported to the provider as it indicates oliguria, which could be a sign of renal impairment or inadequate fluid intake. Low urine output may be an early sign of kidney dysfunction or dehydration. It is crucial to address this promptly to prevent further complications.
The other choices are not as critical to report immediately:
- A: Drainage from the chest tube of 22 mL in the last hour is within the expected range.
- C: Skin temperature of 36°C (96.8°F) is within the normal range.
- D: Pedal and posterior tibial pulses of 2+ indicate normal peripheral perfusion.
Therefore, option B is the most concerning finding that requires immediate attention.
Extract:
A nurse is assessing a school-age child who is receiving morphine.
Question 2 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Nausea. The nurse should monitor for nausea as it is a common adverse effect of many medications and can lead to poor intake, dehydration, and discomfort for the patient. Prolonged wound healing (
A) is a potential adverse effect of immunosuppressants, not commonly monitored by nurses. Stevens-Johnson syndrome (
C) is a severe allergic reaction that requires immediate intervention, not just monitoring. Renal failure (
D) is a serious adverse effect that requires close monitoring of renal function tests, but it is not typically listed as a general adverse effect to monitor without specific context.
Extract:
A nurse is caring for a school-age child who has heart failure.
Question 3 of 5
Which of the following findings should the nurse expect? Select all that apply.
Correct Answer: A,D,E
Rationale: The correct findings for the nurse to expect are Cyanosis (
A), Dyspnea (
D), and Tachycardia (E). Cyanosis indicates poor oxygenation, Dyspnea suggests difficulty breathing, and Tachycardia is a compensatory response to low oxygen levels. Weight loss (
B) may not be directly related to the condition being assessed. Bounding peripheral pulses (
C) are not typical in conditions with poor oxygenation.
Extract:
A nurse is providing teaching to the parent of a school-age child who has a maintenance prescription for prednisone following an acute asthma attack.
Question 4 of 5
Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because acknowledging that the child might experience mood swings shows an understanding of the potential side effects of the medication. Mood swings are a common side effect of certain medications, so recognizing this possibility demonstrates comprehension of the teaching.
Choice B is incorrect as weekly blood tests are not typically necessary for monitoring medication effects.
Choice C is incorrect because withholding medication before physical activity can be dangerous.
Choice D is incorrect as decreased appetite is a common side effect but not a sign of understanding the teaching content.
Extract:
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax.
Question 5 of 5
Which of the following oils should the nurse recommend?
Correct Answer: A
Rationale: The nurse should recommend Lavender oil due to its calming and soothing properties, making it suitable for relaxation and stress relief. Lavender oil is commonly used for aromatherapy to promote sleep and reduce anxiety. Eucalyptus, Jasmine, and Tea Tree oils have different therapeutic benefits, but they are not specifically known for relaxation purposes. Eucalyptus is often used for respiratory issues, Jasmine for uplifting mood, and Tea Tree for skin conditions.
Therefore, Lavender is the best choice for relaxation among the given options.