ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is providing teaching to the guardian of a school-age child who has acute diarrhea.
Question 1 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Administer oral hydration solution after each diarrheal stool. This instruction is crucial to prevent dehydration caused by diarrhea. Oral rehydration solutions help replace lost fluids and electrolytes.
Choice A is incorrect as broth alone may not provide adequate electrolyte replacement.
Choice B is incorrect as carbonated beverages can worsen diarrhea.
Choice C is incorrect as the BRAT diet is outdated and may lack necessary nutrients.
Extract:
A nurse is performing a physical assessment for a 13-year-old adolescent.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because having the child bend forward at the waist and checking for asymmetry of the scapula is a specific action related to assessing for scoliosis. This position helps in identifying any irregularities in the alignment of the spine. Option B is incorrect as auscultating the abdomen for bowel sounds is unrelated to the scenario. Option C, using the FACES scale, is more applicable for assessing pain intensity, not for assessing scoliosis. Option D, observing abdominal movement for respiratory rate, is also not relevant to the assessment of scoliosis.
Extract:
A nurse is providing teaching to the guardian of an infant who has heart failure.
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Minimize the infant's environmental stimuli. This instruction is crucial for promoting infant sleep hygiene and reducing overstimulation. Excessive stimuli can disrupt the infant's sleep patterns, leading to sleep disturbances and irritability. By minimizing environmental stimuli, the infant is more likely to achieve restful sleep, which is essential for their growth and development.
Choice A (Place the infant in a supine position) is a safe sleep practice to reduce the risk of sudden infant death syndrome (SIDS), but it is not directly related to promoting sleep hygiene.
Choice B (Allow the infant to sleep through night feedings) is not recommended as infants often need to be fed during the night for proper nourishment and growth.
Choice D (Bathe the infant every day) is not necessary and can actually dry out the infant's skin, leading to irritation.
Extract:
Nurses' Notes 1200: Caregiver reports toddler has had diarrhea and decreased appetite for 3 days. Toddler alert, uncooperative but can be consoled by caregiver. Weight 12.7 kg (28 lb). Oral mucosa pink, slightly moist. Heart rate regular without murmur. Respirations unlabored with clear breath sounds. Abdomen soft, no masses, hyperactive bowel sounds. Liquid stool in diaper. Diaper area reddened. Capillary refill 2 seconds. IV started and infusing at 45 mL/hr. 1400: Caregiver reports toddler cried themselves to sleep. Reports no tears. 1600: Toddler continues to sleep. IV site intact and patent. Awakens briefly with vital signs, vomits x1, and is lethargic. Capillary refill 4 seconds. Extremities cool; Vital Signs 1200: Temperature 37.1° C (98.8° F), Heart rate 108/min, Respiratory rate 28/min; 1600: Temperature 37.1° C (98.8° F), Heart rate 112/min, Respiratory rate 26/min, Blood pressure 100/60 mm Hg; I&O 1600: IV intake 180 mL, Oral intake none (refuses), Urine output unable to determine - 3 liquid stools in diapers, Stool output 100 mL
Question 4 of 5
A nurse is caring for a toddler admitted to the hospital. Click to highlight the findings that require immediate follow-up.
Correct Answer: A,C,D
Rationale: The correct choices (A,C,
D) require immediate follow-up due to potential signs of serious health issues. A: Capillary refill of 4 seconds indicates poor circulation. C: Lack of tears can be a sign of dehydration. D: Lethargy can indicate a decline in health status. The other choices (B,E,F,G) do not present immediate threats to the toddler's health.
Extract:
A nurse is assessing a 12-year-old child who has asthma and states, 'I am frustrated about not being able to participate in sports.'
Question 5 of 5
Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "You can participate in sports if you use your rescue inhaler before practice or games." This answer is correct because using a rescue inhaler before physical activity can help prevent exercise-induced asthma symptoms. It is a common and effective strategy to manage asthma and allow individuals to engage in sports safely.
Choice A is incorrect as it suggests avoiding sports altogether, which is not necessary if asthma is well-controlled.
Choice B is incorrect because it dismisses the importance of addressing the specific issue of exercise-induced asthma.
Choice C is incorrect as solely using a peak flow meter does not provide direct protection against asthma symptoms during physical activity.