ATI RN Pediatric Nursing Online Practice
2023 B
A nurse is caring for a preschool-age child. For each assessment finding, click to specify if the finding is
consistent with nightmares or sleep terrors. Each finding may support more than 1 disease process.
ANS: -Timing of child's crying: Nightmares
-Child's responsiveness to guardian: Nightmares
-Child's return to sleeping: Sleep terrors
-Child's description of the dream: Nightmares
-Impulsivity: Sleep terrors and Nightmares
-Child's concentration: Sleep terrors and Nightmares
-Daytime alertness: Sleep terrors and Nightmares
Rationale: When analyzing cues, the nurse should recognize that manifestations of nightmares include
awakening during the night after a scary dream. Nightmares are a sleep disturbance that cause distress
after the dream is over. The child might be crying, fearful of returning to sleep, and believe the dream is
real. Sleep disturbances cause interruptions in the sleep-wake cycle and can cause impaired
concentration, daytime fatigue, and impulsive behaviors.
When analyzing cues, the nurse should recognize that manifestations of sleep terrors include a partial
awakening during a deep sleep. Sleep terrors are sleep disturbances that cause a child to exhibit
behaviors such as thrashing, screaming, moaning, and diaphoresis that disappear once the child
awakens. The child does not remember the episode and is not comforted by others during the
disturbance. The child usually falls asleep easily afterwards. Sleep terrors cause interruptions in the
sleep-wake cycle and can cause impaired concentration, daytime fatigue, and impulsive behaviors.
,A nurse is caring for a toddler who has acute otitis media and a temperature of 40 C (104 F). After
administering acetaminophen, which of the following actions should the nurse plan to take to reduce
the toddler's temperature? ANS: -Dress the toddler in minimal clothing
Rationale: The nurse should recognize that dressing the toddler in minimal clothing will expose the skin
to air and maximize heat evaporation from the skin, thus reducing the toddler's temperature.
A nurse on a pediatric unit is caring for a school-age child. After reviewing the information in the child's
medical record, which of the following findings should the nurse report to the provider?
Select the 4 findings that the nurse should report to the provider. ANS: -Arterial blood gases
Rationale: The child's arterial blood gases (ABGs) indicate respiratory alkalosis, which is associated with
complications of asthma, such as hyperventilation and hypoxia. Therefore, the nurse should report
these findings to the provider.
-WBC Count
Rationale: The child's WBC count is above the expected reference range, which could be an indication of
infection or inflammation. Therefore, the nurse should report this finding to the provider.
-Oxygen Saturation
Rationale: The child's oxygen saturation level has decreased below the expected reference range despite
the use of supplemental oxygen. Therefore, the nurse should report this finding to the provider.
-Respiratory Assessment
Rationale: The child's respiratory assessment indicates increased respiratory distress, as evidenced by
the presence of tachypnea, retractions, and increased wheezing. Therefore, the nurse should report
these findings to the provider.
A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS
complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the
nurse clarify with the provider? ANS: -Potassium chloride
, Rationale: The nurse should identify that a child who has congestive heart failure can develop
electrolyte imbalances, such as hyperkalemia or hypokalemia. The nurse should identify that the child is
exhibiting manifestations of hyperkalemia and contact the provider about the administration of
potassium chloride, which can increase the severity of hyperkalemia.
A nurse is caring for a toddler. Complete the diagram by dragging from the choices below to specify
what condition the client is most likely experiencing, 2 actions the nurse should take to address that
condition, and 2 parameters the nurse should monitor to assess the client's progress. ANS: Potential
Condition: Cystic Fibrosis
Actions to take:
1: Educate the guardian about swear chloride testing.
2: Prepare toddler for chest physiotherapy.
Parameters to Monitor:
1: Oxygen saturation level
2: Stools
Rationale: Upon recognizing and analyzing client findings, the nurse's priority hypothesis is that the
toddler is most likely experiencing cystic fibrosis and that is it important to generate solutions and take
actions by planning to educate the guardian about sweat chloride testing for the toddler and prepare
the toddler for chest physiotherapy. The toddler is most likely experiencing cystic fibrosis, as evidenced
by reports of recurring respiratory infections, wheezing, coughing, tachypnea, tachycardia, labored
respirations, decreased oxygen saturation, nasal congestion, inability to gain weight, loose fatty stool,
salty tasting sweat, and hyponatremia. To evaluate the toddler's response to these interventions, the
nurse should monitor the toddler's oxygen saturation level and stools. These are parameters that
indicate if the toddler is further experiencing respiratory distress, inadequate intake, and dehydration,
which can lead to further complications, including pneumothorax, respiratory failure, and failure to
thrive.
2023 B
A nurse is caring for a preschool-age child. For each assessment finding, click to specify if the finding is
consistent with nightmares or sleep terrors. Each finding may support more than 1 disease process.
ANS: -Timing of child's crying: Nightmares
-Child's responsiveness to guardian: Nightmares
-Child's return to sleeping: Sleep terrors
-Child's description of the dream: Nightmares
-Impulsivity: Sleep terrors and Nightmares
-Child's concentration: Sleep terrors and Nightmares
-Daytime alertness: Sleep terrors and Nightmares
Rationale: When analyzing cues, the nurse should recognize that manifestations of nightmares include
awakening during the night after a scary dream. Nightmares are a sleep disturbance that cause distress
after the dream is over. The child might be crying, fearful of returning to sleep, and believe the dream is
real. Sleep disturbances cause interruptions in the sleep-wake cycle and can cause impaired
concentration, daytime fatigue, and impulsive behaviors.
When analyzing cues, the nurse should recognize that manifestations of sleep terrors include a partial
awakening during a deep sleep. Sleep terrors are sleep disturbances that cause a child to exhibit
behaviors such as thrashing, screaming, moaning, and diaphoresis that disappear once the child
awakens. The child does not remember the episode and is not comforted by others during the
disturbance. The child usually falls asleep easily afterwards. Sleep terrors cause interruptions in the
sleep-wake cycle and can cause impaired concentration, daytime fatigue, and impulsive behaviors.
,A nurse is caring for a toddler who has acute otitis media and a temperature of 40 C (104 F). After
administering acetaminophen, which of the following actions should the nurse plan to take to reduce
the toddler's temperature? ANS: -Dress the toddler in minimal clothing
Rationale: The nurse should recognize that dressing the toddler in minimal clothing will expose the skin
to air and maximize heat evaporation from the skin, thus reducing the toddler's temperature.
A nurse on a pediatric unit is caring for a school-age child. After reviewing the information in the child's
medical record, which of the following findings should the nurse report to the provider?
Select the 4 findings that the nurse should report to the provider. ANS: -Arterial blood gases
Rationale: The child's arterial blood gases (ABGs) indicate respiratory alkalosis, which is associated with
complications of asthma, such as hyperventilation and hypoxia. Therefore, the nurse should report
these findings to the provider.
-WBC Count
Rationale: The child's WBC count is above the expected reference range, which could be an indication of
infection or inflammation. Therefore, the nurse should report this finding to the provider.
-Oxygen Saturation
Rationale: The child's oxygen saturation level has decreased below the expected reference range despite
the use of supplemental oxygen. Therefore, the nurse should report this finding to the provider.
-Respiratory Assessment
Rationale: The child's respiratory assessment indicates increased respiratory distress, as evidenced by
the presence of tachypnea, retractions, and increased wheezing. Therefore, the nurse should report
these findings to the provider.
A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS
complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the
nurse clarify with the provider? ANS: -Potassium chloride
, Rationale: The nurse should identify that a child who has congestive heart failure can develop
electrolyte imbalances, such as hyperkalemia or hypokalemia. The nurse should identify that the child is
exhibiting manifestations of hyperkalemia and contact the provider about the administration of
potassium chloride, which can increase the severity of hyperkalemia.
A nurse is caring for a toddler. Complete the diagram by dragging from the choices below to specify
what condition the client is most likely experiencing, 2 actions the nurse should take to address that
condition, and 2 parameters the nurse should monitor to assess the client's progress. ANS: Potential
Condition: Cystic Fibrosis
Actions to take:
1: Educate the guardian about swear chloride testing.
2: Prepare toddler for chest physiotherapy.
Parameters to Monitor:
1: Oxygen saturation level
2: Stools
Rationale: Upon recognizing and analyzing client findings, the nurse's priority hypothesis is that the
toddler is most likely experiencing cystic fibrosis and that is it important to generate solutions and take
actions by planning to educate the guardian about sweat chloride testing for the toddler and prepare
the toddler for chest physiotherapy. The toddler is most likely experiencing cystic fibrosis, as evidenced
by reports of recurring respiratory infections, wheezing, coughing, tachypnea, tachycardia, labored
respirations, decreased oxygen saturation, nasal congestion, inability to gain weight, loose fatty stool,
salty tasting sweat, and hyponatremia. To evaluate the toddler's response to these interventions, the
nurse should monitor the toddler's oxygen saturation level and stools. These are parameters that
indicate if the toddler is further experiencing respiratory distress, inadequate intake, and dehydration,
which can lead to further complications, including pneumothorax, respiratory failure, and failure to
thrive.
