ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is assessing a 12-year-old child who has asthma and states, 'I am frustrated about not being able to participate in sports.'
Question 1 of 5
Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "You can participate in sports if you use your rescue inhaler before practice or games." This answer is correct because using a rescue inhaler before physical activity can help prevent exercise-induced asthma symptoms. It is a common and effective strategy to manage asthma and allow individuals to engage in sports safely.
Choice A is incorrect as it suggests avoiding sports altogether, which is not necessary if asthma is well-controlled.
Choice B is incorrect because it dismisses the importance of addressing the specific issue of exercise-induced asthma.
Choice C is incorrect as solely using a peak flow meter does not provide direct protection against asthma symptoms during physical activity.
Extract:
A nurse is caring for an 8-month-old infant who has received a bolus of IV fluid for hypovolemic shock.
Question 2 of 5
Which of the following findings indicates the treatment was effective?
Correct Answer: D
Rationale: The correct answer is D because a capillary refill time of 2 seconds indicates adequate tissue perfusion, which is a positive response to treatment.
Choice A (fever) indicates ongoing infection, B (sunken fontanel) suggests dehydration, and C (tachycardia) can indicate stress or inadequate cardiac output.
Extract:
A nurse is performing a dressing change for a child and notices that the gauze dressing is adhering to the wound bed.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Saturate the gauze dressing with sterile saline solution prior to removing it. This action helps prevent the dressing from sticking to the wound, minimizing trauma and pain during removal. Saturating the dressing with saline also helps maintain a moist wound environment, which is conducive to healing.
A: Applying firm pressure can cause trauma to the wound and disrupt the healing process.
B: Irrigating with hydrogen peroxide can be too harsh and may damage healthy tissue.
C: Pulling the dressing parallel to the skin can lead to unnecessary pain and potential damage to the wound bed.
Extract:
A nurse is assessing a school-age child who is receiving IV fluids to treat dehydration.
Question 4 of 5
Which of the following findings should indicate to the nurse that the fluid replacement therapy has been effective?
Correct Answer: A
Rationale: The correct answer is A: Capillary refill less than 2 seconds. This finding indicates effective fluid replacement therapy as it shows improved peripheral perfusion. A quick capillary refill time suggests that blood flow to the peripheral tissues is adequate, indicating proper circulation and hydration status. This is a direct and reliable indicator of fluid balance restoration.
Incorrect choices:
B: Elevated potassium levels indicate potential electrolyte imbalance, not fluid status.
C: Voiding less than 1 mL/kg/hr suggests inadequate renal perfusion, not necessarily improved fluid replacement.
D: Tachycardia can be a sign of hypovolemia or dehydration, not necessarily an indicator of effective fluid replacement.
Extract:
A nurse in a clinic is assessing an infant who has diarrhea, is lethargic, and has dry skin.
Question 5 of 5
Which of the following findings indicates moderate dehydration?
Correct Answer: D
Rationale: The correct answer is D: Capillary refill 3 seconds. In moderate dehydration, decreased circulating blood volume leads to delayed capillary refill time. This occurs because of reduced blood flow to the peripheries. A capillary refill time of 3 seconds indicates moderate dehydration.
Choice A (Decreased respiratory rate) is incorrect as it is more commonly associated with severe dehydration.
Choice B (Bulging anterior fontanel) is a sign of increased intracranial pressure, which is seen in severe dehydration.
Choice C (Mottled skin) is typically seen in shock or severe dehydration, not moderate dehydration.
In summary, the other choices are incorrect because they represent more severe signs of dehydration compared to the delayed capillary refill time of 3 seconds, which is indicative of moderate dehydration.