ATI RN PEDIATRIC NURSING ONLINE PRACTICE 2023 B
REVIEW QUESTIONS AND ANSWERS FULLY VERIFIED AND
DETAILED
1. 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.: -
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.
2. 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 ac- tions should the nurse plan to take to reduce the
toddler's temperature?: -Dress the toddler in minimal clothing
, ATI RN PEDIATRIC NURSING ONLINE PRACTICE 2023 B
REVIEW QUESTIONS AND ANSWERS FULLY VERIFIED AND
DETAILED
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.
, ATI RN PEDIATRIC NURSING ONLINE PRACTICE 2023 B
REVIEW QUESTIONS AND ANSWERS FULLY VERIFIED AND
DETAILED
3. 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.: -
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.
4. 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?: -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 hyper- kalemia and contact the provider about the administration of potassium chloride,
which can increase the severity of hyperkalemia.
5. 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
, ATI RN PEDIATRIC NURSING ONLINE PRACTICE 2023 B
REVIEW QUESTIONS AND ANSWERS FULLY VERIFIED AND
condition, and 2 parametersDETAILED
the nurse should monitor to assess the
client's progress.: Potential Condition: Cystic Fibrosis
REVIEW QUESTIONS AND ANSWERS FULLY VERIFIED AND
DETAILED
1. 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.: -
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.
2. 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 ac- tions should the nurse plan to take to reduce the
toddler's temperature?: -Dress the toddler in minimal clothing
, ATI RN PEDIATRIC NURSING ONLINE PRACTICE 2023 B
REVIEW QUESTIONS AND ANSWERS FULLY VERIFIED AND
DETAILED
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.
, ATI RN PEDIATRIC NURSING ONLINE PRACTICE 2023 B
REVIEW QUESTIONS AND ANSWERS FULLY VERIFIED AND
DETAILED
3. 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.: -
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.
4. 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?: -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 hyper- kalemia and contact the provider about the administration of potassium chloride,
which can increase the severity of hyperkalemia.
5. 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
, ATI RN PEDIATRIC NURSING ONLINE PRACTICE 2023 B
REVIEW QUESTIONS AND ANSWERS FULLY VERIFIED AND
condition, and 2 parametersDETAILED
the nurse should monitor to assess the
client's progress.: Potential Condition: Cystic Fibrosis
