ATI RN
ATI RN Pediatrics Nursing 2023 Questions
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 1 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Serous drainage and chamber fluctuation are normal. A respiratory rate of 22/min is typical. 200 mL/hr drainage suggests bleeding, requiring urgent reporting.
Extract:
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Neck movement risks instability. Pin sites need daily checks. Screw adjustments are provider-only. Turning sheets ensure safe repositioning without spinal strain.
Extract:
Nurse's Notes (0700hrs): The child is a 7-year-old male admitted with a history of chronic respiratory issues. The child presents with a persistent cough producing thick, greenish sputum. The mother reports that the child has had difficulty gaining weight despite a good appetite. The child appears fatigued and has been experiencing frequent respiratory infections. The child is currently on oxygen therapy at 2 liters per minute via nasal cannula. The mother also mentions that the child has large, greasy stools and frequent abdominal pain. The child is alert but appears tired and is cooperative during the examination; Physical Examination Results (0700hrs): The child has a barrel-shaped chest and clubbing of the fingers. Breath sounds are diminished bilaterally with crackles and wheezes noted throughout all lung fields. The abdomen is distended with hyperactive bowel sounds. The skin is dry with poor turgor, and there are multiple bruises on the lower extremities. The child has a thin, frail appearance with visible ribs and muscle wasting. The child's lips are slightly cyanotic, and there is nasal flaring observed during respiration. The child's extremities are cool to the touch; Vital Signs (0700hrs): Temperature: 38.2°C (100.8°F), Heart rate: 110/min, Respiratory rate: 32/min, Blood pressure: 95/60 mm Hg, Oxygen saturation: 92% on 2L O2 via nasal cannula; A nurse is caring for a school-age child in the pediatric unit.
Question 3 of 5
Correct Answer: D
Rationale: Increasing the oxygen flow rate to 4 liters per minute may improve oxygenation temporarily, but it does not address the underlying cause of the child's respiratory distress. Additionally, increasing oxygen flow without a provider's order can be unsafe. Administering a bronchodilator as prescribed can help relieve bronchospasm and improve airflow. However, it is essential to notify the provider first to ensure that the bronchodilator is appropriate for the child's current condition. Encouraging the child to drink more fluids is important for hydration, especially if the child has a fever and dry skin. However, it is not the most immediate action needed to address the child's respiratory distress. Notifying the provider of the child's condition is the correct answer. The child is showing signs of respiratory distress, including nasal flaring, cyanosis, and increased respiratory rate. Promptly informing the provider ensures that appropriate medical interventions can be initiated to stabilize the child's condition.
Extract:
The RN reviews therapeutic and nontherapeutic communication techniques with a group of nursing students.
Question 4 of 5
Which of the following demonstrates the use of therapeutic communication techniques?
Correct Answer: B
Rationale: Sharing personal experiences shifts focus from the patient, making it nontherapeutic. Asking for a demonstration encourages engagement and education, a therapeutic approach. Offering false reassurance like 'you will be okay' or 'don't worry' dismisses concerns and is nontherapeutic.
Extract:
A nurse is teaching the parent of a school-age child about bicycle safety.
Question 5 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: This is incorrect because the child's feet should be able to touch the ground comfortably when seated on the bicycle for balance and control. Riding against the flow of traffic is dangerous and increases accident risk. Walking the bicycle through intersections ensures visibility and reduces collision risk. Keeping the bicycle 3 feet from the curb is not standard; children should ride close to the curb with traffic flow.