ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is providing teaching to the parent of a school-age child who has diabetes mellitus about managing diabetes during illness.
Question 1 of 5
Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will increase the amount of fluids I offer my child." This statement indicates an understanding of teaching because increasing fluid intake helps prevent dehydration, a common complication in diabetes. Dehydration can lead to high blood sugar levels and other health issues. Offering more fluids can help maintain hydration and support overall health.
Incorrect
Choices:
A: Offering a specific amount of carbohydrates every 2 hours may not address the child's individual needs or fluctuations in blood sugar levels.
C: Withholding insulin when the child has a poor appetite can lead to uncontrolled blood sugar levels and potential complications.
D: Monitoring blood glucose levels every 8 hours may not provide enough information to manage diabetes effectively and respond promptly to changes.
Extract:
A nurse is providing preoperative teaching for a 9-year-old child who is scheduled for a tonsillectomy.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because using simple diagrams helps enhance understanding, especially for visual learners. It aids in clear communication and comprehension of the procedure.
Choice B, indicating on a stuffed animal, only provides a vague representation.
Choice C, providing teaching immediately before, may not allow enough time for processing.
Choice D, discussing benefits, is important but not the immediate action needed for clarity.
Extract:
A nurse is caring for an adolescent who is scheduled for insertion of an intrauterine device.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Witness the adolescent's signature on the consent form. This is the appropriate action because it ensures that the adolescent has personally consented to the procedure. It is important for the nurse to witness the signature to confirm that the adolescent understands the procedure and its risks. This also upholds the principle of autonomy and informed consent.
A: Encouraging the adolescent to wait to ask questions is not appropriate as it may delay informed decision-making.
B: Calling the guardian for verbal consent is not sufficient for a procedure requiring formal written consent.
C: Rescheduling the procedure without written consent does not address the issue of obtaining proper consent.
Summary: Witnessing the adolescent's signature on the consent form is crucial for ensuring informed consent and respecting the adolescent's autonomy.
Extract:
A nurse is caring for an 11-year-old child who has type 1 diabetes mellitus and receives insulin injections. The child is experiencing an altered mental status, diaphoresis, and tremors.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Give the child 3 to 6 oz of orange juice. This is the correct action because the child is likely experiencing hypoglycemia, and orange juice contains fast-acting sugar that can quickly raise blood glucose levels. Giving a candy bar (
B) is not recommended as it may contain fats that slow down sugar absorption. Administering glucagon (
C) would be appropriate if the child is unconscious, which is not indicated in the question. Administering D5W intravenous fluids (
D) is not the first-line treatment for hypoglycemia in a conscious child.
Extract:
A nurse is reviewing the laboratory results of a school-age child who has glomerulonephritis.
Question 5 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.