ATI RN
ATI RN Pediatric Nursing 2023 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:
Step 1: Cutting and filing the child's fingernails frequently (
Choice
A) is important to prevent scratching and further aggravating the lesions, promoting healing.
Step 2: Using a mild detergent for the child's laundry (
Choice
B) is essential to avoid skin irritation and exacerbation of the condition.
Step 3: Informing the guardian that the child will experience occasional flare-ups (
Choice
D) prepares them for potential worsening of symptoms and the need for prompt intervention.
Step 4: Applying gloves to the child's hands (
Choice F) can protect the lesions from scratching, prevent infection, and aid in the healing process.
Step 5: Applying emollients to the child's skin after bathing (
Choice G) helps maintain skin hydration, soothes irritation, and supports the skin barrier function.
Summary:
Choice A, B, D, F, and G are correct as they address important aspects of managing the child's condition and promoting healing.
Choices C and E are incorrect
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 answer is A: Administer ceftriaxone. This is the appropriate action as ceftriaxone is an antibiotic commonly used to treat bacterial infections. In clinical practice, administering antibiotics promptly is crucial in managing infections to prevent complications. Administering the pneumococcal conjugate vaccine (
B) would not be the immediate action required in this scenario. Initiating serum glucose testing every 1 hr (
C) is not relevant to administering ceftriaxone. Initiating neutropenic precautions (
D) is not indicated without further information related to the patient's condition.
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. A urine output of 15 mL in the last 2 hours should be reported to the provider as it indicates oliguria, which could be a sign of renal impairment or inadequate fluid intake. Low urine output may be an early sign of kidney dysfunction or dehydration. It is crucial to address this promptly to prevent further complications.
The other choices are not as critical to report immediately:
- A: Drainage from the chest tube of 22 mL in the last hour is within the expected range.
- C: Skin temperature of 36°C (96.8°F) is within the normal range.
- D: Pedal and posterior tibial pulses of 2+ indicate normal peripheral perfusion.
Therefore, option B is the most concerning finding that requires immediate attention.
Extract:
A nurse is assessing a school-age child who is receiving morphine.
Question 4 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Nausea. The nurse should monitor for nausea as it is a common adverse effect of many medications and can lead to poor intake, dehydration, and discomfort for the patient. Prolonged wound healing (
A) is a potential adverse effect of immunosuppressants, not commonly monitored by nurses. Stevens-Johnson syndrome (
C) is a severe allergic reaction that requires immediate intervention, not just monitoring. Renal failure (
D) is a serious adverse effect that requires close monitoring of renal function tests, but it is not typically listed as a general adverse effect to monitor without specific context.
Extract:
A nurse is caring for a school-age child who has heart failure.
Question 5 of 5
Which of the following findings should the nurse expect? Select all that apply.
Correct Answer: A,D,E
Rationale: The correct findings for the nurse to expect are Cyanosis (
A), Dyspnea (
D), and Tachycardia (E). Cyanosis indicates poor oxygenation, Dyspnea suggests difficulty breathing, and Tachycardia is a compensatory response to low oxygen levels. Weight loss (
B) may not be directly related to the condition being assessed. Bounding peripheral pulses (
C) are not typical in conditions with poor oxygenation.