ATI RN
ATI Nurs 150 Pediatric Final Exam 0924 Cohort Questions
Extract:
A child who is experiencing a seizure
Question 1 of 5
A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Position the child laterally. This is the correct action because it helps prevent aspiration and maintains an open airway during a seizure. Placing the child on their side also reduces the risk of injury.
Other choices are incorrect: B: Using a padded tongue blade is unnecessary and could potentially harm the child's mouth. C: Attempting to stop the seizure is not within the nurse's control and could be dangerous. D: Restraining the child's arms can lead to injuries and is not recommended during a seizure.
Extract:
A parent of a child who has hemophilia
Question 2 of 5
A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B: I will apply heat. Heat can worsen bleeding in hemophilia by dilating blood vessels, leading to increased blood flow and prolonged bleeding. Compressing the site (
A) helps control bleeding by applying pressure. Elevating the affected part (
C) reduces blood flow to the area. Having the child rest (
D) minimizes physical activity that could exacerbate bleeding. No further teaching is needed if the parent mentions any of these options.
Extract:
A preschooler receiving a vaccine into the deltoid muscle
Question 3 of 5
A nurse is preparing to administer a vaccine into the deltoid muscle of a preschooler. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Use a 1.8 mm (0.5 in) needle. For a preschooler, a shorter needle is recommended to avoid reaching deeper tissues or causing unnecessary pain. Using a 1.8 mm needle ensures the vaccine is injected into the deltoid muscle without penetrating too deeply.
Choices A, B, and C are incorrect. A 15° angle is not necessary for a deltoid muscle injection, inserting below the acromion process may not target the deltoid muscle accurately, and a 20-gauge needle may be too thick for a preschooler.
Extract:
A 6-week-old infant who has a pyloric stenosis
Question 4 of 5
A nurse is caring for a 6-week-old infant who has a pyloric stenosis. Which of the following clinical manifestations should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Projectile vomiting. Pyloric stenosis is a condition where the muscle at the outlet of the stomach thickens, obstructing the passage of food into the small intestine. This leads to forceful, projectile vomiting after feedings. Red currant jelly stools (
A) are seen in intussusception. Distended neck veins (
C) and ridged abdomen (
D) are not specific to pyloric stenosis.
Extract:
A child who has cystic fibrosis (CF)
Question 5 of 5
A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A: We will give our child pancreatic enzymes with snacks and meals.
Rationale: In cystic fibrosis (CF), the pancreas is affected, leading to inadequate enzyme production for digestion. Providing pancreatic enzymes with snacks and meals helps the child digest and absorb nutrients effectively. This response indicates an understanding of the importance of enzyme replacement therapy in managing CF-related malabsorption.
Incorrect
Choices:
B: Restricting salt is not a primary concern in CF management. The focus is on adequate nutrition to support growth and development.
C: Limiting fluid intake is not recommended in CF, as hydration is essential to maintain mucus clearance and prevent dehydration.
D: Low-fat meals with limited protein may not provide enough calories and nutrients needed for a child with CF who often has increased energy needs due to malabsorption.