ATI RN
ATI Pediatrics Exam II Questions
Extract:
A 4-year-old child is admitted to the pediatric unit for a minor surgical procedure. The child believes that the surgery is a punishment for being 'bad.'
Question 1 of 5
Which response by the nurse is most appropriate to address the child's magical thinking?
Correct Answer: C
Rationale: The correct answer is C. This response acknowledges the child's magical thinking without dismissing or invalidating it. The nurse reassures the child that the surgery is not a punishment and explains the true purpose of the surgery, which is to help the child get better. This approach validates the child's feelings while providing factual information to address any misconceptions.
Option A simply praises the child and briefly mentions the need for surgery without directly addressing the magical thinking. Option B is dismissive and tells the child not to think that way without providing any further explanation. Option D offers a distraction without addressing the child's concerns about the surgery.
In summary, option C is the most appropriate as it validates the child's feelings, corrects any misconceptions, and provides reassurance and explanation.
Extract:
A 4-year old preschooler
Question 2 of 5
Which of the following findings should indicate to the nurse a need to refer the child for a possible developmental delay? (Select all that apply.)
Correct Answer: B,D
Rationale:
Correct
Answer: B,D
Rationale:
B: The child being unable to follow simple two-step instructions may indicate a delay in cognitive development, as this is a basic skill expected at a certain age.
D: Having a vocabulary of fewer than 50 words is below the expected range for a child's language development, suggesting a possible delay.
Summary:
A, C, and E are not necessarily indicative of a developmental delay as they can be common variations in children's behavior. A child occasionally reversing letters or stuttering can be part of normal development. Difficulty in sharing toys may indicate social skills rather than a developmental delay.
Extract:
An infant
Question 3 of 5
Which of the following conditions should the nurse identify as the leading cause of death among this age group?
Correct Answer: B
Rationale: The correct answer is B: Congenital anomalies. Among newborns, congenital anomalies are the leading cause of death. This is because these anomalies are often present at birth and can affect vital organs or systems, leading to serious health complications. Respiratory distress, sudden infant death syndrome, and low birth weight can also contribute to infant mortality, but they are not the primary leading cause among newborns. Respiratory distress may occur due to various reasons, sudden infant death syndrome is a sudden unexplained death, and low birth weight can lead to health issues but is not the leading cause of death in this age group.
Extract:
A recently readmitted 3-year-old child with a chronic illness
Question 4 of 5
The parent of a recently readmitted 3-year-old child with a chronic illness tells the nurse, 'I am not sure what to do about my other children. Every time she comes back to the hospital, they have to go to the babysitter. They are telling me that it is not fair that their sister gets all my attention.' Which is the nurse's best assessment of this situation?
Correct Answer: C
Rationale: The correct answer is C: Jealousy and resentment are common reactions to the illness or hospitalization of a sibling. In this situation, the parent's concern about the other children feeling neglected indicates potential feelings of jealousy and resentment towards their sick sibling. It is crucial for the nurse to recognize and address these emotions to support the entire family. Option A implies a judgment of the family's coping mechanisms, which is not the primary concern here. Option B assumes the siblings are immature without considering the valid emotions they may be experiencing. Option D focuses on education rather than addressing the emotional impact on the siblings.
Extract:
A pediatric patient newly admitted to the pediatric floor
Question 5 of 5
Which of the following questions should the nurse include to gather comprehensive information? (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct answers are A, C, and D. Asking about allergies (
A) is important for safety and treatment planning. Inquiring about recent illnesses or hospitalizations (
C) helps assess current health status. Asking about developmental milestones (
D) evaluates growth and potential concerns.
Choice B is incorrect as favorite food is not relevant for gathering comprehensive health information.
Choice E is also incorrect as having siblings does not directly impact the child's health status.