ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is reinforcing the provider's explanation about treatment options to the parents of a 1-month-old who has coarctation of the aorta.
Question 1 of 5
Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Surgical repair is standard for coarctation in infants under 6 months.
Extract:
A nurse is caring for a preschooler who has a gastrostomy tube.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Barrier ointments prevent skin breakdown from gastric leakage.
Extract:
A nurse is caring for an adolescent who is postoperative following epidural anesthesia.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Urinary retention is common due to inhibited bladder function from epidural anesthesia.
Extract:
A nurse is providing teaching to a parent about sudden unexpected infant death (SUID).
Question 4 of 5
Which of the following statements should the nurse include?
Correct Answer: A
Rationale: Room-sharing for 6 months reduces SUID risk per AAP guidelines.
Extract:
Nurses' Notes 1200: Caregiver reports toddler has had diarrhea and decreased appetite for 3 days. Toddler alert, uncooperative but can be consoled by caregiver. Weight 12.7 kg (28 lb). Oral mucosa pink, slightly moist. Heart rate regular without murmur. Respirations unlabored with clear breath sounds. Abdomen soft, no masses, hyperactive bowel sounds. Liquid stool in diaper. Diaper area reddened. Capillary refill 2 seconds. IV started and infusing at 45 mL/hr. 1400: Caregiver reports toddler cried themselves to sleep. Reports no tears. 1600: Toddler continues to sleep. IV site intact and patent. Awakens briefly with vital signs, vomits x1, and is lethargic. Capillary refill 4 seconds. Extremities cool; Vital Signs 1200: Temperature 37.1° C (98.8° F), Heart rate 108/min, Respiratory rate 28/min; 1600: Temperature 37.1° C (98.8° F), Heart rate 112/min, Respiratory rate 26/min, Blood pressure 100/60 mm Hg; I&O 1600: IV intake 180 mL, Oral intake none (refuses), Urine output unable to determine - 3 liquid stools in diapers, Stool output 100 mL
Question 5 of 5
A nurse is caring for a toddler admitted to the hospital. Click to highlight the findings that require immediate follow-up.
Correct Answer: A,C,D
Rationale: Capillary refill 4 seconds, cool extremities, no tears, and lethargy indicate worsening dehydration and poor perfusion, requiring urgent intervention.