ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is teaching the parents of a child who has cystic fibrosis about home care following discharge.
Question 1 of 5
Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer is C because it provides essential information for a child with cystic fibrosis. Taking pancreatic enzymes with meals and snacks helps with digestion due to pancreatic insufficiency common in CF.
Choice A is incorrect as chest x-rays are not routinely done for CF monitoring.
Choice B is incorrect as tonsil and adenoid removal is not typically related to CF.
Choice D is incorrect as isoniazid is used for tuberculosis, not CF.
Extract:
A nurse is assessing a school-age child who is receiving cefazolin.
Question 2 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: C
Rationale: The correct answer is C: Stevens-Johnson syndrome. This is a severe skin reaction that can be caused by certain medications. Nurses should monitor for symptoms like rash, blisters, and mucous membrane involvement. Hypotension (
A) is a possible adverse effect but not specific to a particular condition. Prolonged wound healing (
B) is more related to factors like nutrition and diabetes. Bradypnea (
D) is slow breathing rate, which is not typically a common adverse effect to monitor for.
Extract:
A nurse is caring for a 5-year-old child who has nephrotic syndrome.
Question 3 of 5
Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: The correct answer is C because urine output of 256 mL over 8 hours indicates effective treatment for a patient with urinary issues, as it shows proper kidney function and hydration status. A: Odorless urine is a good sign but not a definitive indicator of treatment effectiveness. B: No pain with voiding is positive but does not confirm treatment success. D: Temperature within normal range is unrelated to urinary treatment outcomes.
Extract:
A charge nurse is observing a staff nurse who is caring for a child who has pertussis.
Question 4 of 5
Which of the following actions by the staff nurse indicates an understanding of infection control practices?
Correct Answer: A
Rationale: The correct answer is A because maintaining droplet precautions while the child is coughing and sneezing is essential to prevent the spread of infections through respiratory droplets. This action shows understanding of infection control practices by implementing necessary precautions in response to specific situations.
Choice B is incorrect because wearing a face mask upon entering the room may not be necessary unless the child is actively coughing or sneezing.
Choice C is incorrect as gloves should be worn for direct contact with bodily fluids, not just assisting a child to the bathroom.
Choice D is incorrect as airborne precautions with N95 respirator are not necessary for droplet precautions.
Extract:
A nurse is prioritizing care for four clients.
Question 5 of 5
Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C. The nurse should assess the adolescent with sickle cell anemia and slurred speech first because slurred speech could be a sign of a stroke, a serious complication of sickle cell anemia. Assessing for neurological deficits is crucial as prompt intervention can prevent further complications.
Choice A is incorrect as the toddler with osteomyelitis receiving an IV bolus of nafcillin can wait momentarily as the medication is not for an emergent condition.
Choice B is incorrect as pain level 7 in an adolescent in skin traction is important but not as urgent as assessing for potential neurological complications in choice C.
Choice D is incorrect as the toddler with a partial-thickness burn, while needing care, does not require immediate assessment for life-threatening conditions like stroke.