ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone.
Question 1 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Monitor your child for indications of infection. This statement is important because certain medications may weaken the immune system, increasing the risk of infections. Monitoring for signs of infection allows for early detection and treatment.
Choice B is incorrect because limiting potassium-rich foods is not typically necessary with this medication.
Choice C is incorrect as this medication does not typically stimulate a growth spurt.
Choice D is incorrect because discontinuing the medication without consulting a healthcare provider can be harmful.
Extract:
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis.
Question 2 of 5
Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: D
Rationale: The correct answer is D: Clear urine. Clear urine indicates proper hydration and kidney function, showing that the treatment has been effective in maintaining the body's fluid balance. Odorless urine (choice
A) is not a reliable indicator of treatment effectiveness. Temperature (choice
B) within normal range doesn't directly relate to treatment success. No pain with voiding (choice
C) is important but doesn't necessarily indicate treatment effectiveness. The focus should be on physiological changes like clear urine to assess treatment outcomes.
Extract:
Question 3 of 5
A nurse is preparing to administer immunizations to a 5-year-old child who is up-to-date with the current immunization schedule. Which of the following immunizations should the nurse plan to administer?
Correct Answer: A
Rationale: The correct answer is A: Varicella. The nurse should plan to administer the Varicella vaccine to the 5-year-old child who is up-to-date with the current immunization schedule because it is recommended for children at this age to protect against chickenpox. Varicella vaccine is typically given around the age of 4-6 years to ensure immunity. The other choices are incorrect because: B: Haemophilus influenzae type b vaccine is usually given at 2, 4, and 6 months of age, not at 5 years. C: Rotavirus vaccine is usually given to infants at 2, 4, and 6 months of age, not at 5 years. D: Hepatitis B vaccine is typically given at birth, 1-2 months, and 6-18 months of age, not at 5 years.
Question 4 of 5
A nurse is teaching about nutrition to the guardian of a 2-year-old toddler. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: A 2-year-old requires about 1,000 to 1,400 calories daily to support growth and development.
Extract:
Nurse's Notes: The infant presents with tachypnea, moderate retractions, and nasal flaring. Auscultation reveals crackles in all lung fields, with no nasal drainage. The infant has a dry cough that occurs periodically. The skin appears pale, the scalp is diaphoretic, and the lower extremities are cool to the touch. The infant is tachycardic with a regular rhythm, and no murmur is heard. Peripheral pulses are full and bounding in the upper extremities but weak in the bilateral pedal pulses. Mucous membranes are slightly dry and pink, with slightly decreased skin turgor. Capillary refill time is 3 seconds. Periorbital edema and non-pitting edema of the feet are noted. The anterior fontanel is soft and slightly depressed. The diaper remains dry. The abdomen is soft, full, and round, with active bowel sounds; Medical History: The infant was born at 38 weeks gestation via vaginal delivery with no complications. The infant has had no previous hospitalizations or surgeries. The infant has been exclusively breastfed and has no known allergies. The mother reports that the infant has been feeding poorly for the past two days and has had decreased urine output. There is no family history of congenital heart disease or respiratory conditions; Diagnostic Results: Chest X-ray: Mild left ventricular hypertrophy noted. Increased pulmonary vascular markings in all lobes; Complete Blood Count (CBC): White Blood Cells (WBC): 12,000/mm³ (4,500-11,000/mm³), Hemoglobin (Hgb): 11 g/dL (11-14 g/dL), Hematocrit (Hct): 33% (33-39%), Platelets: 250,000/mm³ (150,000-450,000/mm³); Electrolytes: Sodium (Na): 138 mEq/L (135-145 mEq/L), Potassium (K): 4.2 mEq/L (3.5-5.0 mEq/L), Chloride (Cl): 102 mEq/L (98-106 mEq/L), Bicarbonate (HCO3): 22 mEq/L (22-28 mEq/L); Vital Signs: Temperature: 37.7°C (99.9°F), Heart rate: 174/min while sleeping, Respiratory rate: 72/min while sleeping, Blood pressure in right upper extremity: 60/39 mm Hg, Oxygen saturation: 90%; Physical Examination Results: The infant is alert but irritable. The skin is pale with a diaphoretic scalp and cool lower extremities. The infant exhibits tachypnea with moderate retractions and nasal flaring. Crackles are heard in all lung fields upon auscultation. The heart rate is tachycardic with a regular rhythm, and no murmur is detected. Peripheral pulses are full and bounding in the upper extremities but weak in the bilateral pedal pulses. The mucous membranes are slightly dry and pink, with slightly decreased skin turgor. Capillary refill time is 3 seconds. Periorbital edema and non-pitting edema of the feet are noted. The anterior fontanel is soft and slightly depressed. The abdomen is soft, full, and round, with active bowel sounds; A nurse is caring for a 6-week-old infant in the pediatric unit.
Question 5 of 5
Complete the diagram by dragging from the choices below to specify: 1. What condition the client is most likely experiencing 2. Two actions the nurse should take to address that condition 3. Two parameters the nurse should monitor to assess the client's progress.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: A,E
Rationale: Action to Take: A, E; Potential Condition: Congestive heart failure; Parameter to Monitor: Peripheral pulses, Respiratory status.
Rationale:
1. Congestive heart failure is a common condition characterized by fluid overload, leading to decreased perfusion and respiratory distress.
2. Actions to take include managing fluid intake, administering diuretics, and monitoring vital signs.
3. Parameters to monitor include peripheral pulses (indicative of perfusion) and respiratory status (to assess for signs of respiratory distress).