ATI RN
ATI Nsg 234 Pediatrics Exam Questions
Extract:
A nurse is caring for a client with cognitive impairment (CI) and an IQ score of 45.
Question 1 of 5
The nurse should plan client care based on which of the following expectations for an IQ score of 45.
Correct Answer: A
Rationale: The correct answer is A: Need for complete care. An IQ score of 45 indicates severe intellectual disability, typically associated with limited cognitive abilities and significant functional impairments. Clients with this level of IQ score usually require complete care due to challenges in decision-making, communication, and performing daily activities independently.
Therefore, planning client care based on the expectation of needing complete care is appropriate.
Choices B, C, and D are incorrect as individuals with an IQ score of 45 would not be able to perform self-care activities with supervision, function independently at all times, or perform complex tasks independently.
Extract:
The nurse is caring for a newborn with a diagnosis of tracheoesophageal fistula (TEF).
Question 2 of 5
Which of the following assessment findings may be present in a newborn with TEF? (Select All that Apply.)
Correct Answer: C,D,E
Rationale: The correct assessment findings for a newborn with tracheoesophageal fistula (TEF) are excessive drooling (
C), respiratory distress (
D), and coughing or choking during feeding (E). Excessive drooling is due to the inability to swallow saliva, respiratory distress occurs due to aspiration into the lungs, and coughing or choking during feeding can result from the abnormal connection between the trachea and esophagus. Sunken abdomen (
B) is not typically associated with TEF, and normal feeding and swallowing (
A) would not be expected due to the anatomical defect.
Extract:
A nurse is preparing to perform a dressing change on a 6-year-old client with mild cognitive impairment (CI) from a sport injury.
Question 3 of 5
Which strategy should the nurse use to prepare the child for the dressing change?
Correct Answer: A
Rationale: The correct answer is A because demonstrating the dressing change with a doll allows the child to visually understand what will happen, reducing anxiety and fear. This method provides a hands-on experience without causing any discomfort to the child.
Choice B may lead to the child feeling ignored or anxious.
Choice C may not provide the child with a clear understanding of the procedure.
Choice D may overwhelm the child and cause distress.
Extract:
A nurse is admitting a toddler who has respiratory syncytial virus (RSV).
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Place the toddler on contact precautions. This is because contact precautions are used to prevent the spread of infections that can be transmitted by direct or indirect contact. Placing the toddler on contact precautions involves using gloves and gowns when in close contact with the child to prevent the transmission of infectious agents.
A, B, and C are incorrect choices because they are not appropriate for preventing the spread of infections through contact. Placing the toddler on airborne precautions (choice
A) would be used for diseases transmitted through the air, such as tuberculosis. Placing the toddler in a semiprivate room (choice
B) does not address the need for specific precautions. Placing the toddler in a negative pressure room (choice
C) is used for airborne infections to prevent the spread of pathogens outside the room.
Extract:
A nurse is caring for an 8-month-old child with a known dysmorphic syndrome and congenital anomalies.
Question 5 of 5
The nurse recognizes that the child is at risk for which of the following?
Correct Answer: A
Rationale: The correct answer is A: Frequent hospitalizations. Children who require frequent hospitalizations are at risk for various complications such as infections, missed school, and disruptions in their daily routine. This can have long-term physical, emotional, and social consequences. Weight loss (
B), cognitive impairment (
C), and dependence on caregivers (
D) may be outcomes of frequent hospitalizations but are not direct risks. It is crucial for the nurse to address the underlying issue of frequent hospitalizations to prevent further complications.