ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is reviewing the laboratory results of a school-age child who has glomerulonephritis.
Question 1 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 teaching about home care to a parent of a 3-year-old child who has a fever.
Question 2 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Apply a light blanket if the child begins to shiver. This instruction is appropriate as shivering indicates the child is cold, and using a light blanket can help regulate their body temperature. B is incorrect as waking a child every 4 hours to drink apple juice may disrupt their sleep cycle. C is incorrect because taking the child's temperature every 10 minutes after acetaminophen administration is excessive and not necessary. D is incorrect as placing ice packs on the child's armpits and groin can lead to hypothermia and should not be done.
Extract:
Flow Sheet Day 1, 1030: Temperature 38.7° C (101.7°F), Heart rate 114/min, Blood pressure 114/80 mm Hg, Respiratory rate 26/min, SpO2 97% on room air, Height 122 cm (48 in), Weight 29 kg (64 lb); 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, capillary refill 4 seconds.
Question 3 of 5
A nurse is admitting an 8-year-old child to the pediatric unit. Select 1 condition and 1 client finding to fill in each blank in the following sentence: The nurse should anticipate a provider's prescription for ___ due to the child's ___.
Correct Answer: A
Rationale: The correct answer is A: Initiating airborne precautions due to WBC. The rationale is as follows:
1. The mention of "WBC" indicates a potential infectious condition, which may require airborne precautions to prevent transmission.
2. Airborne precautions are typically indicated for diseases like tuberculosis or measles, which can be spread through respiratory droplets.
3. In pediatric units, children are more susceptible to infections, making it crucial to implement appropriate precautions.
4. Initiating airborne precautions based on WBC levels aligns with infection control practices to protect both the child and others in the unit.
In summary, choice A is correct because it addresses the potential infectious nature of the child's condition, while the other options do not directly relate to the need for precautions based on laboratory findings or clinical assessment.
Extract:
A nurse is assessing a school-age child who is receiving cefazolin.
Question 4 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Nausea. Nurses should monitor for nausea as it is a common adverse effect of many medications and can impact a patient's well-being. Nausea can lead to decreased oral intake and affect medication adherence. Constipation (
B) and increased appetite (
D) are not typically considered adverse effects that nurses need to monitor. Hypertension (
C) may be monitored for certain medications, but it is not a general adverse effect to monitor for all patients.
Extract:
A nurse is providing teaching about participating in sports to a 12-year-old child who has hemophilia.
Question 5 of 5
Which of the following sports should the nurse recommend?
Correct Answer: D
Rationale: The correct answer is D: Bowling. The nurse should recommend bowling because it is a low-impact sport suitable for individuals of all ages and fitness levels. Bowling helps improve hand-eye coordination, balance, and social interaction. It is a safe and enjoyable activity that can be done indoors, making it accessible year-round. Additionally, bowling can be a stress-relieving and fun way to stay active.
Other choices are incorrect because basketball and soccer are high-impact sports that may not be suitable for everyone, especially those with certain health conditions or physical limitations. Gymnastics requires a higher level of flexibility and strength, which may not be suitable for everyone.