ATI RN
ATI RN Pediatric Assessment 2022 Questions
Extract:
A 10-month-old infant
Question 1 of 5
A nurse teaching the parents of a 10-month-old infant about home safety. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: C,D,E
Rationale: The correct answers are C, D, and E.
C: Fitting the mattress snugly in the crib prevents the baby from getting wedged between the mattress and the crib sides, reducing the risk of suffocation.
D: Tying plastic bags in knots prevents the infant from accessing them and potentially suffocating or choking on them.
E: Serving food in small, non-circular pieces reduces the risk of choking as it is easier for the infant to manage and swallow.
Incorrect options:
A: Setting the water heater at 65.6°C (150°F) is too hot and can scald the infant.
B: Accordion style gates may not be secure enough to prevent the infant from accessing hazardous areas.
Summary: The correct options focus on preventing suffocation, choking hazards, and promoting safe feeding practices, making them crucial for infant safety.
Extract:
A 9-year-old child newly diagnosed with diabetes mellitus
Question 2 of 5
A parent of a 9-year-old child newly diagnosed with diabetes mellitus is very concerned about the child participating in social events at school. The nurse creating a plan of care would formulate which goals to address these concerns? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale:
Step 1: Goal A is correct because integrating diabetes care into daily activities helps normalize the child's routine and reduce stigma.
Step 2: Goal B is correct as open communication about the illness fosters understanding and support within the family.
Step 3: Goal C is crucial to address anxiety related to the diagnosis and social events.
Step 4: Goal D promotes collaboration with school personnel to ensure the child's safety and support.
Step 5: Goal E is important to ensure the child's overall well-being and prevent developmental delays.
Summary: Goals A to E address key aspects of supporting a child with diabetes in social settings, including normalization, communication, coping skills, collaboration, and overall health maintenance. Goals F and G are not relevant to the immediate concerns of social participation and diabetes management.
Extract:
A 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection
Question 3 of 5
A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?
Correct Answer: C
Rationale:
Correct
Answer: C - A needleless syringe and a doll
Rationale:
1. This choice allows the child to engage in play that mimics the process of receiving an insulin injection, helping them understand and become familiar with the procedure.
2. By using a doll, the child can act as the caregiver and practice giving the "injection," empowering them and possibly reducing fear and distress.
3. The needleless syringe provides a safe and non-threatening way for the child to simulate the injection process, promoting a sense of control and mastery over the situation.
Summary of Incorrect
Choices:
A: A period of play in the playroom - Does not directly address the child's distress related to the insulin injection.
B: A video game - Does not provide a hands-on experience to help the child understand and cope with the injection.
D: A storybook about a child who has diabetes - While educational, it does not offer a practical and interactive approach for the child to process their feelings
Extract:
A child diagnosed with rubeola (measles)
Question 4 of 5
The nurse caring for a child diagnosed with rubeola (measles) notes that the pediatrician has documented the presence of Koplik's spots. On the basis of this documentation, which observation is expected?
Correct Answer: B
Rationale: The correct answer is B. Koplik's spots are small blue-white spots with a red base found on the buccal mucosa. This is a characteristic finding in rubeola (measles) and typically appears before the onset of the rash. These spots are pathognomonic for measles and help differentiate it from other viral exanthems. The other choices are incorrect because:
A) Whitish vesicles located across the chest are not a characteristic feature of Koplik's spots.
C) Pinpoint petechiae noted on both legs are not associated with measles.
D) Petechiae spots that are reddish and pinpoint on the soft palate are not indicative of Koplik's spots.
Extract:
A child
Question 5 of 5
A school nurse is performing screening examinations for scoliosis. Which signs of scoliosis should the nurse assess for? Select all that apply.
Correct Answer: A,C,D
Rationale: The correct signs of scoliosis to assess for are lateral deviation and rotation of each vertebra, unequal rib heights, and chest asymmetry. Lateral deviation and rotation of each vertebra are characteristic of scoliosis as the spine curves sideways and may also rotate. Unequal rib heights can indicate spinal curvature, and chest asymmetry is often present due to the spinal deformity affecting the thoracic cage. The incorrect choices are equal rib prominences, equal shoulder heights, and equal waist angles. Equal rib prominences, shoulder heights, and waist angles are not typically seen in individuals with scoliosis as these signs suggest symmetry, which is not present in scoliosis.