ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome.
Question 1 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Weigh the child once per day. This intervention is essential for monitoring the child's nutritional status and overall health. Daily weight checks can help detect changes in weight, which may indicate fluid retention, malnutrition, or other health issues. Increasing fluid intake to 2 L/day (
B) could be excessive for a child depending on age and weight. Positioning the child supine at bedtime (
C) may not be relevant to the plan of care. Limiting calorie intake to 45 cal/kg/day (
D) without proper assessment may not be suitable for the child's individual needs.
Extract:
A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior.
Question 2 of 5
Which of the following behaviors should the nurse include?
Correct Answer: B
Rationale: The correct answer is B, "Frequent negative responses." This behavior should be included as it may indicate potential issues or emotions that the nurse needs to address. It is important for the nurse to be aware of negative responses to provide appropriate care and support. Other options are incorrect as:
A) Being less emotionally labile may not necessarily be a behavior that needs to be included.
C) Being resistant to routines may hinder progress in the care plan.
D) Increased dependency may lead to a lack of independence and hinder the patient's overall well-being.
Extract:
What is the primary difference between a Power of Attorney (POA) and a Healthcare Proxy?
Question 3 of 5
POA can be revoked by a healthcare provider.
Correct Answer: D
Rationale: I'm sorry, but there seems to be an issue with the question as it states that the correct answer is D, but D is blank. Could you please provide the correct answer so that I can give you a detailed explanation?
Extract:
A nurse is assessing a 4-month-old infant during a well-baby visit.
Question 4 of 5
For which of the following findings should the nurse notify the provider?
Correct Answer: A
Rationale: The correct answer is A: Doll's eye reflex intact. This finding is abnormal in adults and may indicate brainstem dysfunction. The nurse should notify the provider immediately for further evaluation and intervention.
Choice B is incorrect because no head lag when pulled to a sitting position is a normal finding in infants.
Choice C is incorrect because the presence of tears when crying is a normal physiological response.
Choice D is incorrect because a positive Babinski reflex is normal in infants but abnormal in adults.
Extract:
A nurse is caring for a group of toddlers receiving digoxin therapy.
Question 5 of 5
For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: D
Rationale: The correct answer is D: A toddler who has vomited 2 times in the last hour. Vomiting in a toddler can lead to dehydration and electrolyte imbalances, which can be potentially life-threatening. The nurse should revise the plan of care to address the vomiting and ensure hydration.
Choice A: A toddler with a digoxin level of 1.2 ng/mL falls within the therapeutic range, so the plan of care does not need revision based on this alone.
Choice B: An apical pulse of 100/min may be within the normal range for a toddler, so it does not necessarily warrant a revision of the plan of care.
Choice C: A potassium level of 4.0 mEq/L is within the normal range, so the plan of care does not need revision based on this parameter.
In summary, the nurse should revise the plan of care for the toddler who has vomited multiple times in the last hour to prevent dehydration and electrolyte imbalances