ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Infant with a new diagnosis of heart failure
Question 1 of 5
A nurse is teaching the parent of an infant who has a new diagnosis of heart failure about nutrition. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale:
Rationale: Option D is correct because implementing a 3-hour feeding schedule helps prevent fluid overload in infants with heart failure. This schedule allows for proper digestion and prevents excessive intake that can worsen heart failure symptoms. Placing the infant in a recumbent position (Option
A) can increase the risk of aspiration. Allowing 45 min for each feeding (Option
B) may result in overfeeding. Allowing the infant to self-soothe by crying (Option
C) can lead to stress and worsen the condition.
Therefore, the correct choice is D to manage fluid intake effectively and prevent complications.
Extract:
4-year-old child
Question 2 of 5
A nurse is preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?
Correct Answer: D
Rationale:
Correct
Answer: D. Apply a topical anesthetic cream 1 hr prior to the procedure.
Rationale: Applying a topical anesthetic cream helps reduce pain and discomfort during the venipuncture procedure, promoting atraumatic care. It numbs the area, making the procedure less painful for the child. This approach aligns with the principles of providing care in a child-friendly and minimally traumatic manner.
Summary:
A: Asking the parent to leave may increase the child's anxiety, contrary to atraumatic care.
B: Explaining the procedure in detail 3 hr prior may cause unnecessary stress and anxiety for the child.
C: Performing the procedure in the playroom may not address the pain and discomfort associated with the procedure.
E, F, G: Not provided, but applying a topical anesthetic cream remains the most appropriate choice for atraumatic care.
Extract:
Question 3 of 5
A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D. An 18-month-old toddler with a heart rate of 68/min should be reported to the provider as it is outside the normal range for that age group (normal is 80-130/min). This finding could indicate bradycardia, which may be a sign of a potential cardiac issue or other underlying health concern.
Choices A, B, and C are within normal ranges for their respective age groups and would not typically require immediate reporting to the provider. Reporting D helps ensure prompt evaluation and appropriate intervention if needed.
Extract:
4-year-old child
Question 4 of 5
A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Use a tumbling E chart for the assessment. This is because a tumbling E chart is commonly used for visual acuity testing in young children who may not be able to identify letters or symbols. The E chart consists of E shapes facing in different directions, and the child is asked to point in the direction the E is facing. This allows for a more accurate assessment of visual acuity in young children compared to traditional letter charts.
Other choices are incorrect:
B: Assess both eyes together first, then each eye separately - This approach may not provide an accurate assessment of each eye's visual acuity individually.
C: Position the child 4.6 meters (15 feet) from the chart - This distance is typically used for adult visual acuity testing, not for children.
D: Test the child without glasses before testing with glasses - It is important to test the child's visual acuity with their usual correction to ensure an accurate assessment.
Extract:
Child with varicella
Question 5 of 5
A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?
Correct Answer: C
Rationale: The correct answer is C: Initiate airborne precautions. Varicella, also known as chickenpox, is highly contagious and spreads through the air by respiratory droplets. Initiating airborne precautions, such as wearing a mask and isolating the child in a negative pressure room, helps prevent the spread of the virus to others. Administering aspirin for fever (choice
A) is contraindicated in varicella due to the risk of Reye's syndrome. Providing a warm blanket (choice
B) is not a priority intervention for varicella. Assessing the oral cavity for Koplik spots (choice
D) is associated with measles, not varicella.