ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is providing teaching to a 14-year-old adolescent who has a new diagnosis of type 1 diabetes mellitus.
Question 1 of 5
Which of the following statements by the adolescent indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will increase my food intake before I exercise." This statement indicates an understanding of the teaching because it shows recognition of the need to fuel the body adequately before physical activity to prevent low blood sugar levels. Increasing food intake before exercise can help maintain stable blood sugar levels during and after physical activity.
Incorrect choices:
A: Incorrect because blood pressure medicine does not affect insulin levels directly.
C: Incorrect because simply taking insulin does not mean one can eat whatever they want without considering their diet.
D: Incorrect because sugar levels do not automatically decrease with age; they may actually increase due to factors like decreased physical activity.
Extract:
A nurse is caring for a school-age child following a femoral venous cardiac catheterization.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Keep the affected extremity straight for 4 hr. This action helps prevent bleeding or hematoma formation at the catheterization site by maintaining pressure on the vessel.
Choice A is incorrect because sterile dressing changes are typically done immediately after the procedure, not 8 hours later.
Choice C is important but not the immediate priority after catheterization.
Choice D is unnecessary as patients can resume normal diet post-procedure.
Extract:
A nurse is reviewing the laboratory results of a school-age child who has glomerulonephritis.
Question 3 of 5
Which of the following laboratory findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Mild hematuria. This finding is expected in conditions like urinary tract infection or kidney stones, which can cause blood in the urine. Hyponatremia (
B) is low sodium in the blood, not a typical lab finding in these conditions. Absent urine protein (
C) is not commonly associated with urinary tract issues. Decreased blood potassium (
D) is more indicative of conditions like renal failure or certain medications. Hematuria is the most likely finding in this scenario, making it the correct choice.
Extract:
A nurse is performing a dressing change for a child and notices that the gauze dressing is adhering to the wound bed.
Question 4 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 caring for a child who is to receive the first dose of IV gentamicin.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Maintain strict I&O. This is essential to monitor the patient's fluid balance accurately, crucial in preventing complications such as dehydration or fluid overload. Monitoring intake and output helps assess renal function and fluid status.
Choices A, C, and D are incorrect. A - Monitoring for constipation is important but not the priority in this scenario. C - Initiating airborne precautions is not relevant to maintaining fluid balance. D - Encouraging bed rest is not appropriate without knowing the patient's condition, as some patients may need mobility for circulation and respiratory function.