ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is planning care for a school-age child who has acute glomerulonephritis.
Question 1 of 5
Which of the following interventions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because monitoring blood pressure every 4 hours is crucial in assessing the patient's cardiovascular status and detecting any potential complications in a timely manner. This intervention helps in early identification of hypertension or hypotension, guiding appropriate treatment adjustments. Increasing fluid consumption (
B) is generally beneficial but does not address a specific immediate need. Implementing a protein-restricted diet (
C) may be necessary for certain conditions but is not a priority in this scenario. Collecting and straining urine for sediment (
D) is important for specific renal assessments but does not address the primary concern of monitoring blood pressure.
Extract:
A nurse is reviewing the laboratory results of a school-age child who has glomerulonephritis.
Question 2 of 5
Which of the following laboratory findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Mild hematuria. This finding is expected in conditions like urinary tract infection or kidney stones, which can cause blood in the urine. Hyponatremia (
B) is low sodium in the blood, not a typical lab finding in these conditions. Absent urine protein (
C) is not commonly associated with urinary tract issues. Decreased blood potassium (
D) is more indicative of conditions like renal failure or certain medications. Hematuria is the most likely finding in this scenario, making it the correct choice.
Extract:
A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden unexpected infant death syndrome (SUIDS).
Question 3 of 5
Which of the following statements by the parents indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will dress my baby in lightweight clothing to sleep." This statement reflects an understanding of the teaching because dressing the baby in lightweight clothing helps prevent overheating during sleep, reducing the risk of Sudden Infant Death Syndrome (SIDS). It shows awareness of the importance of regulating the baby's body temperature while sleeping.
Other choices are incorrect:
A: Laying the baby on their side for naps is not recommended as it increases the risk of SIDS.
C: Having the baby sleep next to the parents in bed increases the risk of accidental suffocation or overlaying.
D: Moving the baby's stuffed animal to the corner of the crib is not related to safe sleep practices.
Extract:
Flow Sheet Day 1, 1030: Temperature 38.7° C (101.7° F), Heart rate 114/min, Respiratory rate 26/min, Blood pressure 114/80 mm Hg, SpO2 97% on room air, Height 122 cm (48 in), Weight 29 kg (64 lb); Provider Prescriptions Day 1, 1020: Admit directly to pediatric unit, Keep child NPO, Obtain comprehensive metabolic panel and blood cultures STAT, Vital signs every 30 min, then every hr x 4, then every 4 hr; Diagnostic Results Day 1, 1040: Potassium 3.8 mEq/L (3.4 to 4.7 mEq/L), Hemoglobin 9.5 g/dL (10 to 15.5 g/dL), Hematocrit 30% (32% to 44%), RBC count 4.2 x 10°/μL (4.0 to 5.5 x 10/μL), WBC count 14,000 mm3 (5,000 to 10,000 mm3), Platelets 350,000/mm3 (150,000 to 400,000/mm3), Glucose 90 mg/dL (< 200 mg/dL), Blood cultures pending; Nurses' Notes Day 1, 1020: Child is a direct admit from a pediatric clinic with fever, chills, irritability for 2 days, prior URI 2 weeks ago, no prior conditions, fully immunized. 1030: Child reports nausea, headache (7/10), lethargic, nuchal rigidity, petechiae on face and trunk.
Question 4 of 5
A nurse is admitting an 8-year-old child to the pediatric unit. For each potential condition, click to specify if the child's assessment findings are consistent with Hodgkin Lymphoma, Bacterial Meningitis, or Acute Lymphoblastic Leukemia (ALL).
| Pain |
| Lymph nodes |
| Skin |
| Neurologic |
Correct Answer: A: Pain - Bacterial Meningitis, B: Lymph nodes - Hodgkin Lymphoma, C: Skin - Bacterial Meningitis & ALL, D: Neurologic - Bacterial Meningitis
Rationale:
To determine the correct assessment findings associated with each condition for the 8-year-old child, we need to consider the typical symptoms of Hodgkin Lymphoma, Bacterial Meningitis, and Acute Lymphoblastic Leukemia .
1. Pain (Correct for Bacterial Meningitis): Bacterial Meningitis often presents with symptoms such as severe headache and neck stiffness, which can be interpreted as pain.
2. Lymph nodes (Correct for Hodgkin Lymphoma): Hodgkin Lymphoma is characterized by the painless enlargement of lymph nodes, particularly in the neck, armpits, or groin.
3. Skin (Correct for Bacterial Meningitis & ALL): Skin findings like petechiae or purpura may indicate meningococcal meningitis or ALL, as both conditions can present with skin manifestations.
4. Neurologic (Correct for Bacterial Meningitis): Neurologic symptoms like altered mental status, seizures, or focal deficits are
Extract:
A nurse is assessing a school-age child prior to administering digoxin.
Question 5 of 5
For which of the following findings should the nurse withhold the medication?
Correct Answer: C
Rationale: The correct answer is C: Heart rate 64/min. A heart rate of 64/min is below the normal range (60-100/min) for adults, indicating bradycardia, which can be a sign of decreased cardiac output. The nurse should withhold medication that can further lower the heart rate and worsen the condition.
A: Urine output 25 mL/hr is low but not necessarily a reason to withhold medication.
B: Oxygen saturation 88% is below the normal range (95-100%) but is not a direct contraindication to withhold medication.
D: Respiratory rate 18/min is within the normal range (12-20/min) and not a reason to withhold medication.