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: Daily weighing monitors fluid retention in nephrotic syndrome, critical for assessing edema. Increased fluid intake worsens edema. Supine positioning may increase fluid pooling. Calorie restriction is unnecessary; balanced nutrition supports recovery.
Extract:
A nurse is preparing to collect a capillary blood specimen from the heel of a 4-month-old infant.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Cool packs reduce blood flow. The outer heel minimizes pain and injury. Lancets, not blades, are used. Clean with alcohol before, not after, to avoid irritation.
Extract:
Nurse's Notes (0700hrs): The adolescent is alert and oriented but appears distressed. Reports severe pain in the right side and lower back, rating it as 8/10. Hands and right knee are painful and swollen. The adolescent's parent reports a low-grade fever and vomiting for the past 3 days. The adolescent is lying in a fetal position, clutching their abdomen. Skin is warm and dry to touch. The adolescent is tearful and intermittently moaning in pain; Medical History: Diagnosed with sickle cell disease at age 2. History of multiple hospitalizations for vaso-occlusive crises. Last hospitalization was 6 months ago. No known drug allergies. Current medications include hydroxyurea and folic acid; Vital Signs (0700hrs): Temperature: 38.2°C (100.8°F), Heart rate: 110 beats per minute, Respiratory rate: 22 breaths per minute, Blood pressure: 130/80 mmHg, Oxygen saturation: 95% on room air; Physical Examination Results (0700hrs): Abdomen: Soft, non-distended, tender in the right lower quadrant. Musculoskeletal: Swelling and tenderness in the right knee and both hands. Neurological: Alert and oriented, no focal deficits. Skin: Warm, dry, no rashes or lesions; A nurse is caring for a 15-year-old adolescent who is admitted with a vaso-occlusive crisis in the emergency department.
Question 3 of 5
Select the 4 interventions the nurse should include.
Correct Answer: C,E,F,G
Rationale:
Choice A: Cold compresses worsen pain by causing vasoconstriction; warm compresses are better.
Choice B: Meperidine risks neurotoxicity; morphine is preferred.
Choice C: Folic acid supports red cell production in sickle cell disease.
Choice D: Hydration is key, not restriction.
Choice E: Hydroxyurea reduces crisis frequency.
Choice F: Continuous oxygen monitoring detects hypoxia.
Choice G: Bed rest lowers metabolic demand.
Choice H: Pneumococcal vaccine prevents infections, critical in sickle cell disease.
Extract:
A nurse is working in a nursing home.
Question 4 of 5
What is the first priority for the nurse in this situation?
Correct Answer: A
Rationale: Moving patients from harm ensures immediate safety, the top priority in a fire. Removing flammables or extinguishing fires is secondary. Reporting to the fire area risks safety. Full evacuation may follow after initial safety measures.
Extract:
A nurse is preparing to assess a 4-year-old child's visual acuity.
Question 5 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The tumbling E chart suits children unable to read letters. Test with glasses if worn. Use 3 meters (10 feet), not 15. Test each eye separately first, then together for accuracy.