ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is teaching a parent of a toddler how to prepare for the arrival of their newborn sibling.
Question 1 of 5
Which of the following statements by the parent indicates to the nurse an understanding of the teaching?
Correct Answer: B
Rationale: Regression like demanding a pacifier is common, showing understanding.
Extract:
Vital Signs Day 1: Temperature 38.8° C (101.8° F), Heart rate 110/min, Respiratory rate 18/min, Blood pressure 110/70 mm Hg; Day 2: Temperature 37.6° C (99.7° F), Heart rate 100/min, Respiratory rate 18/min, Blood pressure 108/68 mm Hg; Laboratory Results Day 1: Hgb 15 g/dL (10 to 15.5 g/dL), Hct 40% (32% to 44%), WBC count 14,000/mm3 (5,000 to 10,000/mm3), Wound culture pending (Negative); Day 2: WBC count 15,000/mm3 (5,000 to 10,000/mm3); A nurse is caring for a 15-year-old adolescent who has cellulitis of the left lower calf.
Question 2 of 5
The nurse is assessing the adolescent 24 hr after the initial visit. How should the nurse interpret the findings? For each finding, click to specify whether the finding is an indication of potential improvement or an indication of potential worsening condition:
| Finding | indication of potential improvement | indication of potential worsening condition |
|---|---|---|
| A. Temperature | ||
| WBC count | ||
| Weight-bearing ability on the affected leg, | ||
| Wound assessment |
Correct Answer: A: Improvement, B: Worsening, C: Improvement, D: Worsening
Rationale: Temperature: The decrease from 38.8° C to 37.6° C indicates potential improvement in the infection response. WBC count: The increase from 14,000/mm³ to 15,000/mm³, still elevated, suggests a potential worsening condition if the trend continues. Weight-bearing ability: Improvement suggests reduced pain or swelling, indicating potential improvement. Wound assessment: Pending culture and possible ongoing inflammation suggest potential worsening if cellulitis spreads.
Extract:
History and Physical: 16 year-old female presents with abdominal and pelvic pain lasting 2 days. Past medical history includes right arm fracture at age 7. Reproductive history includes sexual activity with 4 partners over the last 2 months. Oral contraceptives used for the past 12 months. Last menstrual period 7 days ago. Current on all vaccinations; human papillomavirus vaccine deferred. Vaginal examination: Noted cervical mucopurulent discharge; Vital Signs: Temperature 38° C (100.4° F), Heart rate 96/min, Respiratory rate 16/min, Blood pressure 104/68 mm Hg, Oxygen saturation 98% on room air
Question 3 of 5
A nurse is caring for an adolescent. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: D
Rationale: Pelvic Inflammatory Disease (PI
D) fits symptoms (pain, discharge, fever). Bedrest in semi-Fowler's aids drainage, acetaminophen manages pain. Monitoring temperature and rebound tenderness assesses infection progression.
Extract:
Nurses' Notes Day 1, 1020: Child is a direct admit from a pediatric clinic with fever, chills, irritability for 2 days, prior URI 2 weeks ago, no prior conditions, fully immunized. 1030: Child reports nausea, headache (7/10), lethargic, nuchal rigidity, cervical lymph slightly enlarged, capillary refill 4 seconds.
Question 4 of 5
A nurse is admitting an 8-year-old child to the pediatric unit. The nurse suspects the child has bacterial meningitis. Select words from the choices to fill in each blank in the following sentence: The child is at greatest risk for developing ___ and ___.
Correct Answer: A
Rationale: DIC (due to petechiae and sepsis risk) and hydrocephalus (due to CSF obstruction from meningitis) are significant risks.
Extract:
A nurse is caring for an adolescent who is scheduled for insertion of an intrauterine device.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Adolescents can consent to contraception; witnessing their signature ensures informed consent.