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 assessing a school-age child who has heart failure and is taking furosemide.
Question 2 of 5
Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: B
Rationale: The correct answer is B: A decrease in peripheral edema. This indicates that the medication is effective in reducing fluid accumulation in the tissues, which can be a sign of improved heart function. Peripheral edema is often a symptom of heart failure or other cardiovascular conditions, so a decrease in edema suggests that the medication is helping to improve cardiac output and reduce fluid retention. Increased potassium levels (choice
A) may indicate a medication side effect or imbalance rather than effectiveness. Decrease in cardiac output (choice
C) and increase in venous pressure (choice
D) are not indicators of medication effectiveness but rather signs of worsening heart function.
Extract:
A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to monitor the newborn's temperature every 2 hours. This is crucial in assessing the newborn's thermoregulation, a critical aspect of neonatal care. Monitoring temperature every 2 hours allows for early detection of any signs of hypothermia or hyperthermia, enabling prompt interventions to maintain the newborn's thermal stability. Checking the newborn's eyes every 8 hours (
A) is not a priority in immediate newborn care. Placing mittens on the newborn's hands (
B) is not necessary unless the newborn is scratching themselves. Applying lotion to the newborn's skin (
D) may not be recommended immediately after birth due to the risk of skin irritation.
Extract:
A nurse is working in a nursing home.
Question 4 of 5
What is the first priority for the nurse in this situation?
Correct Answer: A
Rationale: The correct answer is A: Ensure that all patients are moved out of harm's way. The first priority for the nurse in this situation is always the safety and well-being of the patients. Moving them out of harm's way ensures their immediate protection from any potential danger. This action takes precedence over other tasks such as extinguishing the fire, removing flammable materials, or evacuating the building. By prioritizing patient safety first, the nurse can prevent further harm and ensure the best possible outcome for the patients. It is crucial for the nurse to focus on patient care and protection before addressing other aspects of the situation.
Extract:
A nurse is preparing to perform a venipuncture on a 4-year-old child.
Question 5 of 5
Which of the following actions should the nurse take to ensure atraumatic care?
Correct Answer: D
Rationale: The correct answer is D: Apply a topical anesthetic cream 1 hour prior to the procedure. This action promotes atraumatic care by minimizing pain and discomfort for the child during the procedure. Applying the cream in advance allows time for the anesthetic to take effect, reducing the child's anxiety and fear. It also demonstrates the nurse's consideration for the child's well-being and comfort.
Other choices are incorrect because:
A: Asking the child's parent to leave the room may increase the child's anxiety and make the experience more traumatic.
B: Performing the procedure in the playroom may not necessarily reduce the trauma if the child is still experiencing pain.
C: Explaining the procedure in detail 3 hours prior may cause unnecessary worry and anxiety for the child, increasing trauma.
Overall, applying a topical anesthetic cream is the most effective and compassionate approach to ensuring atraumatic care for the child.