ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is preparing to administer an IM injection to a 3-year-old child.
Question 1 of 5
Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Bribing for no crying adds pressure. Vague promises of 'fixing' are misleading. Offering a choice empowers the child, reducing anxiety. Minimizing pain as a 'little stick' may undermine trust.
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: Odorless urine, normal temperature, and no pain aren't specific to APSGN recovery. Clear urine indicates resolved hematuria, a sign of effective treatment.
Extract:
A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs.
Question 3 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Blood shouldn't stay at room temperature over 30 minutes. Infuse within 4 hours to avoid contamination. Use filtered tubing to prevent clots. Dextrose can cause hemolysis; use saline.
Extract:
A nurse is assessing a school-age child who is receiving prednisolone.
Question 4 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: Prednisolone causes hypertension, not hypotension. It delays wound healing due to immunosuppression. Renal failure and Stevens-Johnson syndrome are not common side effects.
Extract:
Nurse's Notes (0700 hrs): The client reports a sudden onset of severe abdominal pain that started 4 hours ago. He describes the pain as sharp and constant, located in the upper right quadrant of the abdomen. The client has vomited twice in the past hour, with the vomitus being greenish in color. He denies any recent trauma or injury. The client appears anxious and is clutching his abdomen. He has a history of hypertension and is currently on medication for it. The client denies any known allergies; Physical Examination Results (0700 hrs): The client is alert and oriented but appears to be in significant distress. His skin is pale and diaphoretic. The abdomen is distended and tender to palpation, especially in the upper right quadrant. There is guarding and rebound tenderness noted. Bowel sounds are hypoactive. The client exhibits mild jaundice, with yellowing of the sclera. There are no visible signs of trauma or bruising on the abdomen; Vital Signs (0700 hrs): Temperature: 38.3°C (100.9°F), Pulse: 110 beats per minute, Respiratory Rate: 24 breaths per minute, Blood Pressure: 150/90 mm Hg, Oxygen Saturation: 95% on room air; A nurse is caring for a 45-year-old male client in the emergency department who presented with severe abdominal pain and vomiting.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Pain relief is secondary to provider notification given signs of peritonitis. Ultrasound preparation follows provider orders. Nasogastric tube insertion needs authorization. Notifying the provider ensures urgent evaluation for a potentially life-threatening condition.