ATI RN
ATI RN Pediatric Nursing 2023 I 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: B. This is a concerning finding indicating possible inadequate renal perfusion, especially considering the postoperative status of the toddler. A. Chest tube drainage of 22 mL/hour is expected. C. Skin temperature of 36°C is slightly low but not critical. D. Pulses of 2+ are adequate.
Extract:
Question 2 of 5
A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: A
Rationale: A. An elevated creatinine level may indicate kidney dysfunction, a potential adverse effect of gentamicin therapy. B, C, D. These values are within normal ranges.
Question 3 of 5
A charge nurse is observing a staff nurse who is caring for a child who has pertussis. Which of the following actions by the staff nurse indicates an understanding of infection control practices?
Correct Answer: A
Rationale: A. Maintaining droplet precautions while the child is coughing and sneezing is appropriate because pertussis is primarily transmitted via respiratory droplets. B. Applying a mask after entering is incorrect timing. C. Gloves are not specific to pertussis transmission. D. Airborne precautions are not needed for pertussis.
Extract:
Nurses' Notes 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter. Vital Signs 0930: Temperature 38.4° C (101.1° F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).
Question 4 of 5
Select words from the choices to fill in each blank in the following sentence. The child is at risk for developing ______ and _______.
Correct Answer: A,D
Rationale: E. Pyelonephritis is a bacterial infection of the kidneys commonly associated with fever and lethargy, especially in young children. B. Renal scarring can occur as a complication of untreated or recurrent urinary tract infections (UTIs), particularly pyelonephritis.
Extract:
Question 5 of 5
A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take?
Correct Answer: A
Rationale: A. In many jurisdictions, adolescents have the legal right to consent to testing and treatment for sexually transmitted infections (STIs) without parental involvement. B, C, D. These may delay care or breach confidentiality.