ATI RN
ATI Pediatric Exam Nursing 228 Questions
Extract:
A newborn developing sepsis
Question 1 of 5
A nurse is providing care to a newborn. The nurse suspects that the newborn is developing sepsis based on which assessment finding?
Correct Answer: A
Rationale: The correct answer is A: temperature instability. In newborns, sepsis can manifest as either hypothermia or fever. Temperature instability is a key symptom indicating a potential infection. Increased urinary output (
B) and wakefulness (
C) are not specific signs of sepsis in newborns. While interest in feeding (
D) is a positive sign, it is not a reliable indicator of sepsis.
Extract:
A picky eater
Question 2 of 5
The nurse is counseling parents of a picky eater on how to promote healthy eating habits in their child. Which intervention would be appropriate advice?
Correct Answer: A
Rationale: The correct answer is A because it promotes autonomy and healthy eating habits. Allowing the child to choose what to eat empowers them and reduces mealtime battles. This approach encourages a positive relationship with food and promotes a varied diet.
Choices B, C, and D may reinforce picky eating behavior or lead to unhealthy eating habits.
Choice B may lead to a limited and unbalanced diet.
Choice C promotes unhealthy food choices and may lead to weight gain.
Choice D encourages the child to eat solely for the reward rather than for hunger or enjoyment. Overall, choice A fosters a positive eating environment and encourages the child to develop a healthy relationship with food.
Extract:
A 5-year-old girl posttonsillectomy
Question 3 of 5
The nurse is caring for a 5-year-old girl posttonsillectomy. The girl looks out the window and tells the nurse that it is raining and says. The sky is crying because it is sad that my throat hurts. The nurse understands that the girl is demonstrating which mental process?
Correct Answer: A
Rationale: The correct answer is A: Magical thinking. Magical thinking refers to a child's belief that their thoughts have the power to influence events. In this scenario, the girl believes that the rain is a result of the sky being sad about her sore throat, demonstrating a magical connection between her physical discomfort and the weather. This type of thinking is common in young children as they try to make sense of the world around them.
Other choices are incorrect:
B: Transduction refers to the tendency to focus on one aspect of a situation and ignore other relevant aspects. This does not apply to the scenario described.
C: Centration is the tendency to focus on only one aspect of a situation and ignore other relevant aspects. This does not align with the girl's belief about the rain.
D: Animism is the belief that inanimate objects have human-like qualities. While related to magical thinking, it does not capture the specific connection between the girl's throat pain and the rain.
Extract:
A 5-year-old girl who was 40 in tall at age 4
Question 4 of 5
The nurse is conducting a well-child examination of a 5-year-old girl, who was 40 in tall at her last examination at age 4. Which height measurement would be within the normal range of growth expected for a preschooler?
Correct Answer: D
Rationale: The correct answer is D: 43 in. This is within the expected range of growth for a preschooler based on the average growth rate of 2.5 inches per year. At age 4, the girl was 40 inches tall, so at age 5, she would be expected to be around 42.5 inches tall.
Therefore, a height measurement of 43 inches falls within the normal range of growth.
Choice A (47 in) is too tall for a child of this age, exceeding the expected growth rate.
Choice B (41 in) is slightly below the expected growth rate.
Choice C (45 in) is above the expected range for a 5-year-old. These choices do not align with the typical growth patterns for a preschooler, making them incorrect.
Extract:
A 4-year-old girl afraid of cats and dogs
Question 5 of 5
A nurse is caring for a 4-year-old girl. The mother says that the girl is afraid of cats and dogs and does not like to go to the playground anymore because she wants to avoid the dogs that are often being walked at the park. What should the nurse tell the mother?
Correct Answer: A
Rationale: The correct answer is A: Acknowledge her fear and help her develop a strategy for dealing with it. This approach validates the girl's feelings, provides support, and empowers her to cope with her fear. It encourages open communication and problem-solving, promoting a sense of control.
Choices B and D ignore the girl's feelings or force her to face her fears prematurely.
Choice C may overwhelm her and worsen her fear.
Choices E, F, and G are irrelevant.