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: Discarding the first void starts the collection accurately. Hourly voiding isn't needed. All urine goes in one container. Povidone-iodine isn't required for hygiene during collection.
Extract:
A nurse is caring for a 1-year-old child who has been hospitalized.
Question 2 of 5
Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: D
Rationale: Disposable diapers, gowns, and unopened formula are single-use or sterile, minimizing infection risk. Bedside keyboards are frequently touched and can harbor pathogens, making them a common infection source.
Extract:
Nurse's Notes (0700hrs): The adolescent is alert and oriented but appears distressed. Reports severe pain in the right side and lower back, rating it as 8/10. Hands and right knee are painful and swollen. The adolescent's parent reports a low-grade fever and vomiting for the past 3 days. The adolescent is lying in a fetal position, clutching their abdomen. Skin is warm and dry to touch. The adolescent is tearful and intermittently moaning in pain; Medical History: Diagnosed with sickle cell disease at age 2. History of multiple hospitalizations for vaso-occlusive crises. Last hospitalization was 6 months ago. No known drug allergies. Current medications include hydroxyurea and folic acid; Vital Signs (0700hrs): Temperature: 38.2°C (100.8°F), Heart rate: 110 beats per minute, Respiratory rate: 22 breaths per minute, Blood pressure: 130/80 mmHg, Oxygen saturation: 95% on room air; Physical Examination Results (0700hrs): Abdomen: Soft, non-distended, tender in the right lower quadrant. Musculoskeletal: Swelling and tenderness in the right knee and both hands. Neurological: Alert and oriented, no focal deficits. Skin: Warm, dry, no rashes or lesions; A nurse is caring for a 15-year-old adolescent who is admitted with a vaso-occlusive crisis in the emergency department.
Question 3 of 5
Select the 4 interventions the nurse should include.
Correct Answer: C,E,F,G
Rationale:
Choice A: Cold compresses worsen pain by causing vasoconstriction; warm compresses are better.
Choice B: Meperidine risks neurotoxicity; morphine is preferred.
Choice C: Folic acid supports red cell production in sickle cell disease.
Choice D: Hydration is key, not restriction.
Choice E: Hydroxyurea reduces crisis frequency.
Choice F: Continuous oxygen monitoring detects hypoxia.
Choice G: Bed rest lowers metabolic demand.
Choice H: Pneumococcal vaccine prevents infections, critical in sickle cell disease.
Extract:
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy.
Question 4 of 5
Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: A
Rationale: Continuous swallowing suggests blood in the throat, indicating possible hemorrhage post-tonsillectomy, requiring urgent attention. Normal blood pressure, low heart rate, or flushing are not specific to bleeding.
Extract:
A nurse is caring for an infant who has necrotizing enterocolitis.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Vomiting and tachypnea may occur but are less specific. Hypertension isn't typical. A rounded abdomen from intestinal swelling and gas is a hallmark of necrotizing enterocolitis.