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:
Question 2 of 5
A nurse is planning care for a preschooler who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Establish a reward system. This intervention is appropriate for a preschooler with autism spectrum disorder as it helps reinforce positive behaviors and encourages desired actions. By using a reward system, the nurse can motivate the child to engage in specific activities or tasks. Holding the child during assessments (
A) may not be appropriate as it can cause sensory overload. Maintaining extended eye contact (
B) may be overwhelming for a child with autism. Engaging in cooperative play (
C) may be challenging for a child with autism who may struggle with social interactions.
Question 3 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale:
Correct Answer: A (Bradypnea)
Rationale:
1. Morphine is an opioid analgesic that can cause respiratory depression.
2. Bradypnea (slow breathing) is a common adverse effect of opioids.
3. Monitoring for bradypnea is crucial to prevent respiratory compromise and overdose.
4. Stevens-Johnson syndrome, prolonged wound healing, and hypertension are not typical adverse effects of morphine.
5. Bradypnea is the priority adverse effect to monitor due to its life-threatening nature.
Extract:
Nurses' Notes (0700 hrs): 7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor. The child appears uncomfortable and is frequently shifting positions in bed. The client has been crying intermittently and is reluctant to drink fluids. The guardian mentions that the child has been more irritable and has a decreased appetite. The child has a history of recurrent UTIs, with the last episode occurring 6 months ago; Vital Signs (0715 hrs): Heart rate: 80/min, Temperature: 38°C (100.4°F), Respiratory rate: 22/min, Blood pressure: 106/65 mm Hg; A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI) in the pediatric unit.
Question 4 of 5
For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Finding | Anticipated | Contraindicated |
|---|---|---|
| Advise child's guardian about the use of sunscreen | ||
| Educate the child about proper perineal hygiene | ||
| Administer salicylic acid for pain and fever | ||
| Ensure the child receives a maximum of 1,200 mL/day of fluid | ||
| Administer sulfamethoxazole and trimethoprim |
Correct Answer: B,E
Rationale: [1, 0, 0, 0, 1]
The correct answer is B,E. For the intervention "Educate the child about proper perineal hygiene" , it is anticipated as it promotes personal hygiene. Administering sulfamethoxazole and trimethoprim (E) is also anticipated as it is a common antibiotic for various infections. Advising about sunscreen (
A) is not relevant to the given scenario. Administering salicylic acid (
C) is contraindicated due to its potential side effects in children. Ensuring fluid intake (
D) is not specified in the context provided.
Extract:
A nurse is assessing a child who has measles.
Question 5 of 5
Which of the following areas should the nurse inspect for Koplik spots?
Correct Answer: A
Rationale: The correct answer is A: Inside the cheeks. Koplik spots are small, white spots with a bluish-white center, typically found on the buccal mucosa opposite the molars. This is a hallmark sign of measles. Inspecting inside the cheeks allows the nurse to identify these spots accurately.
Choices B, C, and D are incorrect because Koplik spots are not typically found on the tongue, gums, or lips in cases of measles. It is crucial for the nurse to have a clear understanding of the characteristic locations of Koplik spots to make an accurate assessment and provide appropriate care to the patient.