ATI RN Pediatric Nursing Online Practice 2023 B
A nurse is caring for a preschool-age child. For each -Timing of child's crying: Nightmares
assessment finding, click to specify if the finding is
consistent with nightmares or sleep terrors. Each finding -Child's responsiveness to guardian: Nightmares
may support more than 1 disease process.
-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
-Dress the toddler in minimal clothing
media and a temperature of 40 C (104 F). After
administering acetaminophen, which of the following
Rationale: The nurse should recognize that dressing the toddler in minimal clothing
actions should the nurse plan to take to reduce the
will expose the skin to air and maximize heat evaporation from the skin, thus
toddler's temperature?
reducing the toddler's temperature.
A nurse on a pediatric unit is caring for a school-age
-Arterial blood gases
child. After reviewing the information in the child's
Rationale: The child's arterial blood gases (ABGs) indicate respiratory alkalosis,
medical record, which of the following findings should
which is associated with complications of asthma, such as hyperventilation
the nurse report to the provider?
and hypoxia. Therefore, the nurse should report these findings to the
Select the 4 findings that the nurse should report to the
provider.
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
-Potassium chloride
congestive heart failure. The nurse observes wide
QRS complexes and peaked T waves on the cardiac
Rationale: The nurse should identify that a child who has congestive heart failure
monitor. Which of the following prescriptions should
can develop electrolyte imbalances, such as hyperkalemia or hypokalemia. The
the nurse clarify with the provider?
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 preschool-age child. For each -Timing of child's crying: Nightmares
assessment finding, click to specify if the finding is
consistent with nightmares or sleep terrors. Each finding -Child's responsiveness to guardian: Nightmares
may support more than 1 disease process.
-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
-Dress the toddler in minimal clothing
media and a temperature of 40 C (104 F). After
administering acetaminophen, which of the following
Rationale: The nurse should recognize that dressing the toddler in minimal clothing
actions should the nurse plan to take to reduce the
will expose the skin to air and maximize heat evaporation from the skin, thus
toddler's temperature?
reducing the toddler's temperature.
A nurse on a pediatric unit is caring for a school-age
-Arterial blood gases
child. After reviewing the information in the child's
Rationale: The child's arterial blood gases (ABGs) indicate respiratory alkalosis,
medical record, which of the following findings should
which is associated with complications of asthma, such as hyperventilation
the nurse report to the provider?
and hypoxia. Therefore, the nurse should report these findings to the
Select the 4 findings that the nurse should report to the
provider.
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
-Potassium chloride
congestive heart failure. The nurse observes wide
QRS complexes and peaked T waves on the cardiac
Rationale: The nurse should identify that a child who has congestive heart failure
monitor. Which of the following prescriptions should
can develop electrolyte imbalances, such as hyperkalemia or hypokalemia. The
the nurse clarify with the provider?
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.
