ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling.
Question 1 of 5
Which of the following reactions is an age-appropriate response to death?
Correct Answer: B
Rationale: The correct answer is B: The child is curious about what happened to the sibling's body. This response is age-appropriate as children often have a natural curiosity about death and what happens to the body after death. It reflects a typical stage of development where children are trying to make sense of the concept of death. Other choices are incorrect: A is incorrect as children may not fully grasp the permanence of death at a young age. C is incorrect as children may not always be able to provide a logical explanation for death due to their limited cognitive abilities. D is incorrect as children typically do not feel responsible for a sibling's death unless there are specific circumstances leading to such feelings.
Extract:
A nurse is caring for a child who has had a lumbar puncture.
Question 2 of 5
Which of the following complications should the nurse monitor the child for?
Correct Answer: C
Rationale: The correct answer is C: Headache. This is because headache is a common complication that can occur in children for various reasons, such as infections, head injuries, or migraines. Monitoring for headaches is important as they could indicate underlying issues needing prompt attention.
A: Nuchal rigidity when standing is associated with meningitis, not a common complication in children.
B: Double vision is more likely related to eye problems rather than common complications in children.
D: Pain in the posterior iliac crest is typically not a common complication in children and may be more related to musculoskeletal issues.
Extract:
A nurse is teaching the parents of a child who has cystic fibrosis about home care following discharge.
Question 3 of 5
Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer is C because it provides essential information for a child with cystic fibrosis. Taking pancreatic enzymes with meals and snacks helps with digestion due to pancreatic insufficiency common in CF.
Choice A is incorrect as chest x-rays are not routinely done for CF monitoring.
Choice B is incorrect as tonsil and adenoid removal is not typically related to CF.
Choice D is incorrect as isoniazid is used for tuberculosis, not CF.
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: C
Rationale: The correct answer is C: Stevens-Johnson syndrome. This is a severe skin reaction that can be caused by certain medications. Nurses should monitor for symptoms like rash, blisters, and mucous membrane involvement. Hypotension (
A) is a possible adverse effect but not specific to a particular condition. Prolonged wound healing (
B) is more related to factors like nutrition and diabetes. Bradypnea (
D) is slow breathing rate, which is not typically a common adverse effect to monitor for.
Extract:
A nurse is caring for a 5-year-old child who has nephrotic syndrome.
Question 5 of 5
Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: The correct answer is C because urine output of 256 mL over 8 hours indicates effective treatment for a patient with urinary issues, as it shows proper kidney function and hydration status. A: Odorless urine is a good sign but not a definitive indicator of treatment effectiveness. B: No pain with voiding is positive but does not confirm treatment success. D: Temperature within normal range is unrelated to urinary treatment outcomes.