ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is caring for a child who is receiving conditioning therapy for enuresis.
Question 1 of 5
Which of the following statements by the child's parent indicates the treatment is effective?
Correct Answer: C
Rationale: The correct answer is C because it indicates the desired behavior change in response to the treatment for bedwetting. Going to the bathroom when the alarm goes off shows that the child is responding to the alarm by waking up and emptying their bladder, which is the goal of the treatment. This behavior demonstrates that the child is becoming more aware of their bladder signals and is actively participating in the treatment process.
Choice A is incorrect as holding urine is not a recommended behavior and can lead to bladder issues.
Choice B is unrelated to the effectiveness of the treatment for bedwetting.
Choice D is also incorrect as drinking less can worsen bedwetting by reducing bladder capacity.
Extract:
A nurse is reviewing the laboratory results of a preschool-age child who has iron deficiency anemia.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A - Request a provider prescription for ferrous sulfate.
Rationale: The nurse should request a prescription for ferrous sulfate as it is commonly used to treat iron deficiency anemia. By obtaining a prescription, the nurse can ensure that the appropriate dosage and monitoring are in place to address the underlying condition effectively.
Summary of other choices:
B: Administering factor VII concentrate is not appropriate without indication of a coagulation disorder.
C: While promoting oral hygiene is important, the use of a soft sponge toothbrush does not address any immediate medical need.
D: Placing the child in protective precautions is too vague and not specific to the given scenario about the action needed by the nurse.
Extract:
A nurse is preparing to administer an IM injection to a 3-year-old child.
Question 3 of 5
Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C because it empowers the patient by providing autonomy in decision-making, which enhances their sense of control and involvement in their care. Offering the choice of which leg to receive the medicine in promotes patient-centered care. Option A is manipulative and uses rewards to control behavior. Option B oversimplifies the effects of the medication. Option D minimizes the discomfort of the injection.
Extract:
Question 4 of 5
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Rationale for correct answer (
C): Weighing the child daily is crucial in monitoring fluid status in nephrotic syndrome. Sudden weight gain indicates fluid retention, a common symptom. This intervention helps assess treatment effectiveness and prevent complications like edema and hypertension.
Summary of incorrect choices:
A: Positioning supine can worsen edema due to fluid accumulation in dependent areas.
B: Limiting calorie intake may be necessary in some cases, but not a priority in the acute stage.
D: Increasing fluid intake may exacerbate fluid overload and worsen edema.
E, F, G: No information provided.
Question 5 of 5
A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Prolonged wound healing. Prednisolone is a corticosteroid that can suppress the immune system, leading to delayed wound healing. The nurse should monitor for this adverse effect by observing the child's wound healing progress.
Choice B, hypotension, is not a common adverse effect of prednisolone.
Choice C, Stevens-Johnson syndrome, is a severe skin reaction typically caused by medications like sulfonamides, not corticosteroids.
Choice D, renal failure, is also not a common adverse effect of prednisolone. Monitoring for prolonged wound healing is crucial to prevent complications and ensure the child's well-being.