ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden unexpected infant death syndrome (SUIDS).
Question 1 of 5
Which of the following statements by the parents indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will dress my baby in lightweight clothing to sleep." This statement reflects an understanding of the teaching because dressing the baby in lightweight clothing helps prevent overheating during sleep, reducing the risk of Sudden Infant Death Syndrome (SIDS). It shows awareness of the importance of regulating the baby's body temperature while sleeping.
Other choices are incorrect:
A: Laying the baby on their side for naps is not recommended as it increases the risk of SIDS.
C: Having the baby sleep next to the parents in bed increases the risk of accidental suffocation or overlaying.
D: Moving the baby's stuffed animal to the corner of the crib is not related to safe sleep practices.
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, capillary refill 4 seconds.
Question 2 of 5
A pediatrician has evaluated the child and has written new prescriptions. The nurse is preparing to assist with a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,D,E,G
Rationale: Correct answer: A, D, E, G
A: Apply pressure to the puncture site following the procedure - This is important to prevent bleeding and promote clotting.
D: Ensure the guardian has signed the consent form prior to the procedure - This is a legal and ethical requirement to ensure informed consent.
E: Ensure the child voids prior to the procedure - This helps reduce the risk of post-procedure urinary retention.
G: Monitor for paresthesia and tingling in extremities following the procedure - This is important to assess for potential nerve damage or complications.
Incorrect choices:
B: Limit the child's fluid intake following the procedure - There is no need to limit fluid intake post-lumbar puncture.
C: Position the child in a prone position during the procedure - The child should be in a lateral decubitus position for a lumbar puncture.
F: Insert an indwelling urinary catheter during the procedure - There is no indication for inserting a catheter
Extract:
Vital Signs 0900: Temperature 37° C (98.6° F), Heart rate 90/min, Respiratory rate 22/min, Blood pressure 110/70 mm Hg, Oxygen saturation 96% on room air; 1000: Temperature 37.3°C (99.7° F), Heart rate 98/min, Respiratory rate 25/min, Blood pressure 120/74 mm Hg, Oxygen saturation 96% on room air; Laboratory Results 1000: WBC count 9,500/mm3 (5,000 to 10,000/mm3), Hgb 9 g/dL (10 to 15.5 g/dL), Hct 18% (32% to 44%), Platelets 450,000/mm3 (150,000 to 400,000/mm3); Nurses' Notes 0900: Child admitted to unit in vaso-occlusive crisis. Child reports pain in the right knee as 7 on a scale of 0 to 10. Right knee is swollen and warm to the touch. Pulses are +2 and capillary refill 2 seconds in all extremities. 1000: Notified provider regarding laboratory results. Child reports pain in the right knee is now 10 on a scale of 0 to 10.
Question 3 of 5
A nurse is caring for a 12-year-old client who has sickle cell disease. Complete the following sentence by using the lists of options: The nurse should anticipate a provider prescription for ___ due to the child's ___.
Correct Answer: A
Rationale: The correct answer is A: IV hydromorphone due to pain. In sickle cell disease, vaso-occlusive pain crises are common due to the blockage of blood flow by sickled red blood cells. IV hydromorphone is a potent opioid analgesic used to manage severe pain in such crises. IV fluids (option
B) may be necessary to prevent dehydration, but it is not the primary intervention for pain management in sickle cell disease. Acetaminophen (option
C) is used for fever, which is not the main concern in this case. Oxygen (option
D) may be needed in cases of acute chest syndrome but is not the first-line treatment for pain in sickle cell crisis.
Extract:
A nurse is teaching the guardian of a child who is suspected of having cystic fibrosis and is scheduled for a sweat chloride test.
Question 4 of 5
Which of the following statements should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because collecting two separate samples ensures reliability in test results by minimizing errors and confirming consistency. This method helps to rule out any potential contamination or handling issues that could affect the accuracy of the test. Option B is incorrect as providing a specific time frame for test completion may vary and is not universally applicable. Option C is incorrect as sedation is not typically required for this type of test and may introduce unnecessary risks. Option D is incorrect because the fasting period recommended before the test is usually shorter than 6 hours.
Extract:
A nurse is caring for a school-age child who has heart failure.
Question 5 of 5
Which of the following interventions should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D: Consolidate activities to promote the child's rest. This intervention is appropriate for a child who needs rest to recover from an illness or injury. By consolidating activities, the child can conserve energy and promote healing.
Choice A is incorrect because live virus vaccines are generally safe and effective for healthy children.
Choice B is incorrect as daily weighing may not be necessary and could cause unnecessary stress.
Choice C is incorrect as sleeping in an air-conditioned room may not be essential for the child's recovery.