ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is providing instructions about a 24-hour urine collection to an adolescent client.
Question 1 of 5
Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Discard the first voided specimen. This is important in order to obtain an accurate urine specimen for testing. By discarding the first voided specimen, the nurse can ensure that the sample is not contaminated by bacteria or other substances that may have collected in the urethra. Voiding every hour (
B) is unnecessary and may lead to overcollection. Saving the final specimen in a separate container (
C) is not necessary and may not provide any additional benefit. Cleansing the perineum with povidone-iodine solution prior to voiding (
D) is not standard practice and may introduce contaminants into the sample.
Extract:
A nurse is providing education to a client.
Question 2 of 5
Which of the following nonverbal techniques should the nurse use to enhance the importance of the education?
Correct Answer: C
Rationale: The correct answer is C: Smile, nod, touch the client's hand. This nonverbal technique enhances the importance of education by showing empathy, engagement, and support. Smiling conveys warmth and friendliness, nodding indicates understanding and attentiveness, and touching the client's hand can create a sense of connection and trust. These nonverbal cues help to build rapport and encourage the client to be more receptive to the information being shared.
Choice A is incorrect because checking messages on the cell phone is distracting and shows lack of interest.
Choice B is incorrect as crossing arms and avoiding eye contact can signal defensiveness or disinterest.
Choice D is incorrect as leaning over the chair may come across as too casual and unprofessional.
Extract:
Question 3 of 5
A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct action for the nurse to take first is to apply pressure just above the insertion site. This is crucial in controlling the bleeding and preventing further complications. By applying pressure, the nurse can help to stop the bleeding and stabilize the patient's condition. Reinforcing the dressing (choice
A) may not effectively address the immediate issue of active bleeding. Obtaining vital signs (choice
B) can wait until the bleeding is controlled. Monitoring the pulse distal to the insertion site (choice
D) is important but should come after addressing the bleeding.
Therefore, applying pressure above the insertion site is the priority to manage the immediate concern of excessive bleeding in this situation.
Extract:
A nurse is caring for a group of toddlers receiving digoxin therapy.
Question 4 of 5
For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: D
Rationale: The correct answer is D: A toddler who has vomited 2 times in the last hour. Vomiting in a toddler can lead to dehydration and electrolyte imbalances, which can be potentially life-threatening. The nurse should revise the plan of care to address the vomiting and ensure hydration.
Choice A: A toddler with a digoxin level of 1.2 ng/mL falls within the therapeutic range, so the plan of care does not need revision based on this alone.
Choice B: An apical pulse of 100/min may be within the normal range for a toddler, so it does not necessarily warrant a revision of the plan of care.
Choice C: A potassium level of 4.0 mEq/L is within the normal range, so the plan of care does not need revision based on this parameter.
In summary, the nurse should revise the plan of care for the toddler who has vomited multiple times in the last hour to prevent dehydration and electrolyte imbalances
Extract:
Question 5 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Facial twitching. This finding is concerning as it may indicate a neurological complication, such as a stroke, which can be life-threatening in sickle cell anemia. The nurse should report this immediately for further evaluation and intervention. Kyphosis (
B), constipation (
C), and enuresis (
D) are common issues in sickle cell anemia but are not immediate priorities compared to potential neurological complications.