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:
Vital Signs 0900: Temperature 37° C (98.6° F), Heart rate 90/min, Respiratory rate 22/min, Blood pressure 110/70 mm Hg, Oxygen saturation 96% on room air; 1000: Temperature 37.3°C (99.7° F), Heart rate 98/min, Respiratory rate 25/min, Blood pressure 120/74 mm Hg, Oxygen saturation 96% on room air; Laboratory Results 1000: WBC count 9,500/mm3 (5,000 to 10,000/mm3), Hgb 9 g/dL (10 to 15.5 g/dL), Hct 18% (32% to 44%), Platelets 450,000/mm3 (150,000 to 400,000/mm3); Nurses' Notes 0900: Child admitted to unit in vaso-occlusive crisis. Child reports pain in the right knee as 7 on a scale of 0 to 10. Right knee is swollen and warm to the touch. Pulses are +2 and capillary refill 2 seconds in all extremities. 1000: Notified provider regarding laboratory results. Child reports pain in the right knee is now 10 on a scale of 0 to 10.
Question 2 of 5
A nurse is caring for a 12-year-old client who has sickle cell disease. Complete the following sentence by using the lists of options: The nurse should anticipate a provider prescription for ___ due to the child's ___.
Correct Answer: A
Rationale: The correct answer is A: IV hydromorphone due to pain. In sickle cell disease, vaso-occlusive pain crises are common due to the blockage of blood flow by sickled red blood cells. IV hydromorphone is a potent opioid analgesic used to manage severe pain in such crises. IV fluids (option
B) may be necessary to prevent dehydration, but it is not the primary intervention for pain management in sickle cell disease. Acetaminophen (option
C) is used for fever, which is not the main concern in this case. Oxygen (option
D) may be needed in cases of acute chest syndrome but is not the first-line treatment for pain in sickle cell crisis.
Extract:
Vital Signs 1405: Temperature 38° C (100.4° F), Heart rate 96/min, Respiratory rate 18/min, Blood pressure 104/72 mm Hg, Oxygen saturation 98% on room air; Laboratory Results 1430: C-reactive protein 3.2 mg/dL (<1.0 mg/dL), Albumin 3.4 g/dL (3.5 to 5.0 g/dL), Hemoglobin 11 g/dL (10 to 15.5 g/dL), Hematocrit 33% (32% to 44%), RBC count 4.0 x 10°/μL (4.0 to 5.5 x 10/μL), WBC count 13,000/mm3 (5,000 to 10,000/mm3), Platelets 275,000/mm3 (150,000 to 400,000/mm3), Potassium 3.5 mEq/L (3.4 to 4.7 mEq/L), Magnesium 1.4 mEq/L (1.4 to 1.7 mEq/L), Total calcium 9.0 mg/dL (8.8 to 10.8 mg/dL); Stool: Positive for occult blood (negative), Positive for leukocytes 4/high-power field (<2/high-power field), Negative for helicobacter pylori (negative)
Question 3 of 5
A nurse is caring for an adolescent in the emergency department (ED). Complete the diagram by dragging from the choices below to 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: D
Rationale: Action to Take: Gluten-free diet, Record intake; Potential Condition: Crohn's disease; Parameter to Monitor: Albumin, Hemoglobin. Crohn's disease is a chronic inflammatory condition affecting the gastrointestinal tract, requiring a gluten-free diet and careful monitoring of nutrient intake to manage symptoms and prevent malnutrition. Monitoring albumin and hemoglobin levels helps assess the client's nutritional status and response to treatment. The other choices are incorrect because they do not align with the characteristic features of Crohn's disease, such as gluten sensitivity and the need for meticulous dietary management. The actions and parameters in the correct answer are specific to Crohn's disease, making it the most appropriate choice for the scenario presented.
Extract:
A nurse is admitting a school-age child who has osteomyelitis.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The nurse should first obtain a blood culture because it is crucial in identifying the causative organism in a suspected infection. This step helps guide appropriate antibiotic therapy promptly. Requesting a referral for physical therapy, administering IV antibiotics, and recording intake and output are important interventions, but obtaining a blood culture takes precedence in cases of suspected infection to ensure accurate and timely treatment.
Extract:
A nurse is providing teaching to an adolescent who has vulvovaginitis.
Question 5 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Apply a warm, moist compress three times per day. This statement should be included in teaching because it promotes wound healing by increasing blood flow and promoting drainage. A: Scented baby powder can cause irritation and should be avoided. C: Feminine deodorant pads can disrupt the natural pH balance of the vagina. D: Nylon underwear can trap moisture and lead to infection.