ATI RN
ATI Nurs 213 Pediatric Exam Questions
Extract:
A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets.
Question 1 of 5
Which of the following instructions should the nurse provide the parents regarding administration of this medication?
Correct Answer: D
Rationale: The correct answer is D: Give with orange juice. This medication is likely to be acidic or require an acidic environment for optimal absorption. Orange juice is acidic and can help enhance the absorption of the medication. Milk (choice
A) may interfere with the absorption of certain medications due to calcium content. Administering at mealtimes (choice
B) may vary in terms of stomach acidity and contents, affecting medication absorption. Administering at bedtime (choice
C) may not be relevant unless the medication specifically requires night-time administration. Giving with orange juice aligns with the pharmacokinetics of many medications, making it the most appropriate choice among the options provided.
Extract:
A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. The provider prescribes restraints.
Question 2 of 5
The nurse should apply which of the following types of restraints for this infant?
Correct Answer: C
Rationale: The correct answer is C: Elbow restraint. For infants, elbow restraints are recommended as they allow for proper movement and circulation while still limiting mobility. Elbow restraints are safer compared to wrist or jacket restraints, which can restrict movement and circulation. Mummy restraints are not suitable for infants as they can cause discomfort and restrict breathing. Similarly, wrist restraints can be dangerous for infants as they can easily slip off or cause injury. Elbow restraints strike a balance between safety and comfort for infants.
Extract:
The nurse needs to administer an intramuscular (IM) injection to a 2-year-old child.
Question 3 of 5
Where is the best site to administer the injection?
Correct Answer: A
Rationale: The correct answer is A, the anterior outer quadrant of the thigh, for administering injections. This site is preferred due to a higher muscle mass, minimal nerve and vascular structures, and easy accessibility. It reduces the risk of hitting major blood vessels, nerves, or bones. The deltoid muscle in the arm (choice
B) is not recommended for large volumes due to the risk of nerve injury. The upper outer quadrant of the buttocks (choice
C) carries the risk of sciatic nerve damage.
Choice D is incorrect as the buttocks have a higher risk of hitting the sciatic nerve compared to the thigh.
Extract:
A nurse is assessing a 1-year-old toddler notices a large abdominal mass and pink-tinged urine on the diaper.
Question 4 of 5
Which of the following disorders should the nurse suspect?
Correct Answer: C
Rationale: The correct answer is C: Wilms' tumor. The nurse should suspect Wilms' tumor in a child presenting with an abdominal mass. Wilms' tumor is a common childhood kidney cancer, typically presenting as a painless abdominal mass. It is important to suspect Wilms' tumor early for prompt diagnosis and treatment. Pyloric stenosis (
A) presents with projectile vomiting, nephritic syndrome (
B) with hematuria and proteinuria, and intussusception (
D) with colicky abdominal pain and "currant jelly" stools.
Extract:
A nurse is educating new parents about risk factors for sudden infant death syndrome (SIDS).
Question 5 of 5
Which of the following statements should indicate to the nurse the need for additional teaching?
Correct Answer: A
Rationale: Answer A should indicate the need for additional teaching because it suggests co-sleeping, which poses a risk of suffocation for the baby. The nurse should educate the parents on the importance of safe sleep practices to prevent Sudden Infant Death Syndrome (SIDS). Removing blankets and toys (
B), placing the baby on her back (
C), and offering a pacifier (
D) are all recommended safe sleep practices.