ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is teaching the guardians of a school-age child who has cystic fibrosis about dietary needs.
Question 1 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Offer your child foods that are high in fat." This is because children require essential fatty acids for brain development and overall growth. Fat is a concentrated source of energy and aids in the absorption of fat-soluble vitamins. It is important for healthy cell function and hormone production.
Choices A, C, and D are incorrect because low-calorie, high vitamin C, and low-protein foods may not provide adequate nutrition for a growing child. Offering foods high in fat, but choosing healthy fats like avocados, nuts, and seeds, can support a child's overall health and development.
Extract:
A nurse is providing teaching about nutrition to the guardian of a school-age child who has lactose intolerance.
Question 2 of 5
The nurse should identify which of the following foods as the best source of calcium?
Correct Answer: A
Rationale: The correct answer is A: 1 cup raw broccoli. Broccoli is a high-calcium vegetable. It provides a good amount of calcium per serving, aiding in bone health. Raw broccoli retains more nutrients compared to cooked broccoli. The other choices are incorrect because: B: White bread lacks significant calcium content. C: One poached egg has minimal calcium. D: Peanut butter has negligible calcium content. E, F, G: No additional choices given.
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.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: D
Rationale: Action to Take: Bedrest in semi-Fowler's, Acetaminophen; Potential Condition: Pelvic Inflammatory Disease; Parameter to Monitor: Temperature >38.3°C, Rebound tenderness. The correct answer is D because Pelvic Inflammatory Disease is common in adolescents and requires rest and pain management with Acetaminophen. Monitoring temperature and rebound tenderness are key indicators of the effectiveness of treatment.
Choices A and B are incorrect as they suggest actions and parameters not typically associated with Pelvic Inflammatory Disease.
Choice C is incorrect as it suggests a different condition and unrelated parameters.
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 caring for an adolescent who is postoperative following epidural anesthesia.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Urinary retention. This finding is expected due to the anticholinergic effects of the medication, which can lead to decreased bladder contractility. Hypertension (choice
A) is not typically associated with this medication. Mild sedation (choice
B) is common with some medications but not necessarily expected in this case. Respiratory depression (choice
D) is a serious adverse effect but not a typical finding with this medication.