ATI RN
RN Pediatric Nursing 2023 ATI
1. Which type of food is the most difficult to swallow?
- A. Raw Vegetables
- B. Strained Fruit
- C. Chopped Meat
- D. Mashed Vegetables
Correct answer: C
Rationale: Chopped meat is the most difficult to swallow as it requires thorough chewing and coordination to avoid swallowing hazards, making it more challenging compared to raw vegetables, strained fruit, and mashed vegetables.
2. Which food should be avoided by a child with acute glomerulonephritis to prevent hyperkalemia, as recommended by the nurse?
- A. Dairy products
- B. Whole-grain cereals
- C. Organ meats
- D. Bananas
Correct answer: D
Rationale: Bananas are rich in potassium, which can contribute to hyperkalemia in individuals with acute glomerulonephritis. It is essential to limit potassium intake to prevent further complications associated with high potassium levels in the blood.
3. A healthcare professional is assessing a child who has nephrotic syndrome. Which of the following findings should the healthcare professional expect?
- A. Hypotension
- B. Hyperglycemia
- C. Facial edema
- D. Weight gain
Correct answer: D
Rationale: In nephrotic syndrome, there is increased permeability of the glomerular filtration barrier, leading to protein loss in the urine. This results in hypoalbuminemia, causing fluid retention and edema. Therefore, weight gain due to fluid retention is a common finding in children with nephrotic syndrome.
4. Which assessment finding would necessitate action by the nurse for a 10-month-old child who is 4 hours postoperative for the placement of a urethral stent?
- A. Bloody urine
- B. One void since returning from surgery
- C. Bladder spasms responding to pharmacologic intervention
- D. Double diapering from the previous shift
Correct answer: B
Rationale: In a postoperative scenario after the placement of a urethral stent, monitoring the child's voiding frequency is crucial. Having only one void since returning from surgery could indicate potential issues like urinary retention, which necessitates prompt nursing intervention to prevent complications.
5. A nurse is providing discharge teaching to the parent of a child who has juvenile idiopathic arthritis. Which of the following statements should the nurse include?
- A. Encourage the child to sleep for 8 hours each night.
- B. Perform range-of-motion exercises once per week.
- C. Give your child NSAIDs on a regular schedule.
- D. Apply heat to the child's affected joints twice daily.
Correct answer: C
Rationale: The nurse should instruct the parent to give the child NSAIDs on a regular schedule to maintain therapeutic levels and control pain.
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