ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis. Assessment: Child is alert and responsive, Respiratory rate even and nonlabored at rate of 24/min. No adventitious sounds auscultated, Heart rate 108/min, Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities.
Question 1 of 5
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.
Correct Answer: A,B,D,F,G
Rationale:
To provide comprehensive discharge instructions for a child's guardian, the nurse should include the following statements:
A: Cutting and filing the child's fingernails frequently is important to prevent skin damage from scratching.
B: Using a mild detergent for the child's laundry helps prevent skin irritation and allergic reactions.
D: Informing the guardian about occasional flare-ups prepares them for potential exacerbations of the condition.
F: Applying gloves to the child's hands can help protect the lesions from scratching and prevent infection.
G: Applying emollients to the child's skin after bathing helps maintain skin hydration and prevent dryness.
These instructions aim to promote skin health, prevent complications, and manage the child's condition effectively.
Extract:
Cerebrospinal fluid: Pressure: 22 cm H2O (less than 20 cm H2O), Color: Cloudy (clear or colorless), Blood: None (none), Cells RBC: 0 (0), WBC: 36 cells/mcL (0 to 30 cells/mcL), Protein: 92 mg/dL (up to 70 mg/dL), Glucose: 36 mg/dL (50 to 75 mg/dL), Serum glucose: 64 mg/dL (60 to 100 mg/dL).
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse to take is to administer ceftriaxone (choice
A). This is the correct answer because ceftriaxone is an antibiotic commonly used to treat bacterial infections, especially in cases of suspected sepsis or meningitis. Administering it promptly can help prevent the spread of infection and improve the patient's condition.
The other choices are incorrect because:
B: Administering a pneumococcal conjugate vaccine is not the immediate priority in this scenario where treatment for an existing infection is needed.
C: Initiation of serum glucose testing every 1 hr is not indicated without further context or rationale provided in the question.
D: Initiating neutropenic precautions is not necessary based on the information provided and is not a direct action to address the immediate issue at hand.
Extract:
A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 lb) and is postoperative following open heart surgery.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Urine output of 15 mL in the last 2 hr. This finding indicates oliguria, which can be a sign of decreased kidney function or dehydration, requiring immediate attention. In contrast, option A is within normal parameters for chest tube drainage, C reflects normal skin temperature, and D indicates normal pulses. Reporting option B is crucial to prevent further complications.
Extract:
Question 4 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Nausea. Morphine, an opioid analgesic, commonly causes gastrointestinal side effects such as nausea. The nurse should monitor for nausea as it can lead to vomiting, dehydration, and poor oral intake. Prolonged wound healing (
A) is not a typical adverse effect of morphine. Stevens-Johnson syndrome (
C) is a severe skin reaction usually caused by medications other than morphine. Renal failure (
D) is not a common adverse effect of morphine; however, it can occur in patients with pre-existing kidney issues or when morphine is used in high doses for a prolonged period.
Question 5 of 5
A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect? Select all that apply.
Correct Answer: A,D,E
Rationale: The correct findings to expect in a school-age child with heart failure are Cyanosis (
A), Dyspnea (
D), and Tachycardia (E). Cyanosis occurs due to poor oxygenation, Dyspnea is a common symptom of heart failure, and Tachycardia is the body's compensatory response to the decreased cardiac output. Weight loss (
B) is less likely as heart failure often causes fluid retention and weight gain. Bounding peripheral pulses (
C) are more indicative of conditions like hypertension or hyperthyroidism rather than heart failure.
Therefore, A, D, and E are the most relevant findings in this scenario.