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: High-fat foods meet energy needs in CF due to fat malabsorption.
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 2 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:
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 3 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: Pressure prevents CSF leakage, consent is required, voiding ensures comfort, and monitoring for paresthesia detects complications.
Extract:
A nurse is performing a physical assessment for a 13-year-old adolescent.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The Adam's forward bend test screens for scoliosis, common in adolescents.
Extract:
Vital Signs 1405: Temperature 38° C (100.4° F), Heart rate 96/min, Respiratory rate 18/min, Blood pressure 104/72 mm Hg, Oxygen saturation 98% on room air; Laboratory Results 1430: C-reactive protein 3.2 mg/dL (<1.0 mg/dL), Albumin 3.4 g/dL (3.5 to 5.0 g/dL), Hemoglobin 11 g/dL (10 to 15.5 g/dL), Hematocrit 33% (32% to 44%), RBC count 4.0 x 10°/μL (4.0 to 5.5 x 10/μL), WBC count 13,000/mm3 (5,000 to 10,000/mm3), Platelets 275,000/mm3 (150,000 to 400,000/mm3), Potassium 3.5 mEq/L (3.4 to 4.7 mEq/L), Magnesium 1.4 mEq/L (1.4 to 1.7 mEq/L), Total calcium 9.0 mg/dL (8.8 to 10.8 mg/dL); Stool: Positive for occult blood (negative), Positive for leukocytes 4/high-power field (<2/high-power field), Negative for helicobacter pylori (negative)
Question 5 of 5
A nurse is caring for an adolescent in the emergency department (ED). 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: Crohn's disease matches stool findings and inflammation markers. Gluten-free diet and recording intake manage symptoms. Monitoring albumin and hemoglobin tracks nutrition and blood loss.