ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin.
Question 1 of 5
Which of the following laboratory values should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Creatinine 1.4 mg/dL (0.2 to 0.5 mg/dL). Creatinine levels outside the normal range indicate kidney dysfunction. A level of 1.4 mg/dL is elevated, suggesting impaired renal function. This should be reported to the provider for further evaluation and potential intervention.
Choices B, C, and D are within the normal range, so they do not require immediate reporting. BUN levels alone do not indicate kidney dysfunction, so choices C and D are not the correct answers. Reporting the abnormal creatinine value is crucial for early intervention and preventing further kidney damage.
Extract:
A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder.
Question 2 of 5
The nurse should teach the parents to take which of the following actions during a seizure?
Correct Answer: B
Rationale: The correct answer is B: Clear the area of hard objects. This action is important during a seizure to prevent injury to the child. Hard objects can pose a risk of causing harm if the child hits them during a seizure. Minimizing movement of the limbs (choice
A) is not as critical as removing potential hazards. Placing the child in a prone position (choice
C) can obstruct their breathing during a seizure. Inserting a tongue blade between the teeth (choice
D) can lead to further injury and is not recommended.
Therefore, clearing the area of hard objects is the most appropriate action to ensure the child's safety during a seizure.
Extract:
A nurse is providing teaching to the parents of a child who has impetigo.
Question 3 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Apply bactericidal ointment to lesions. This instruction is crucial for preventing bacterial infection in lesions. B: Administering acyclovir treats viral infections, not bacterial. C: Boiling hairbrushes is for preventing head lice, not for treating lesions. D: Sealing toys is for managing scabies, not lesions. E, F, G: Irrelevant to lesion care.
Extract:
A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning.
Question 4 of 5
Which of the following should the nurse expect?
Correct Answer: D
Rationale: The nurse should expect hyperpyrexia (extremely high fever) because it indicates a severe infection or inflammatory response in the body. This is a critical sign that requires immediate intervention to prevent complications. Neck vein distention (
A) could indicate fluid overload, polyuria (
B) is excessive urination which may be present in conditions like diabetes, and jaundice (
C) is a sign of liver dysfunction. These symptoms are not directly related to a severe infection or inflammatory response, unlike hyperpyrexia.
Extract:
Infant was full-term at birth. Birth weight was 3.5 kg (7.7 lb). Infant is not gaining weight as expected. One week ago at outpatient visit, weight was 3.6 kg (7.9 lb). Parent reports for past 2 days infant is breathing faster during feedings and does not finish feedings. Parent also reports decreased appetite and puffiness around the infant's eyes. Parent states that the last wet diaper was about 10 hr ago. Infant admitted for diagnostic evaluation, failure to thrive, and nutritional/fluid support. Vital Signs Admission: Temperature 37.7° C (99.9° F), Heart rate 174/min while sleeping, Respiratory rate 72/min while sleeping. Assessment: Respirations: Tachypneic with moderate retractions and nasal flaring. Upon auscultation, crackles heard in all lung fields. No nasal drainage noted. Dry cough noted periodically. Skin: Pallor, scalp is diaphoretic, lower extremities are cool to touch. Cardiac: Tachycardic, regular rhythm, no murmur is heard. Peripheral pulses are full and bounding in the upper extremities and weak bilateral pedal pulses are noted. Fluids: Mucous membranes are slightly dry and pink. Skin turgor is slightly decreased. Capillary refill is 3 seconds. Noted periorbital edema and nonpitting edema of feet. Anterior fontanel is soft and slightly depressed. Diaper remains dry. Abdomen: Soft, full, round, bowel sounds are present and active. Blood pressure in right upper extremity 60/39 mm Hg, Oxygen saturation 90%. Laboratory Results: Chest x-ray: mild left ventricular hypertrophy is noted. Increased pulmonary vascular markings are noted in all lobes.
Question 5 of 5
Specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: C (Condition), A,B (Actions), B,C (Parameters)
Rationale: Action to Take: A, B; Potential Condition: C; Parameter to Monitor: B, C.
The client is most likely experiencing respiratory synctial virus bronchiolitis. The actions to take include monitoring respiratory status and providing chest physiotherapy. The potential condition to monitor is the presence of periorbital edema. Monitoring intake and output and the number of steatorrhea stools would help assess the client's progress.