ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden unexpected infant death syndrome (SUIDS).
Question 1 of 5
Which of the following statements by the parents indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will dress my baby in lightweight clothing to sleep." This statement reflects an understanding of the teaching because dressing the baby in lightweight clothing helps prevent overheating during sleep, reducing the risk of Sudden Infant Death Syndrome (SIDS). It shows awareness of the importance of regulating the baby's body temperature while sleeping.
Other choices are incorrect:
A: Laying the baby on their side for naps is not recommended as it increases the risk of SIDS.
C: Having the baby sleep next to the parents in bed increases the risk of accidental suffocation or overlaying.
D: Moving the baby's stuffed animal to the corner of the crib is not related to safe sleep practices.
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:
Provider Prescriptions Day 1, 1020: Admit directly to pediatric unit, Keep child NPO, Obtain comprehensive metabolic panel and blood cultures STAT, Vital signs every 30 min, then every hr x 4, then every 4 hr; Diagnostic Results Day 1, 1040: Potassium 3.8 mEq/L (3.4 to 4.7 mEq/L), Hemoglobin 9.5 g/dL (10 to 15.5 g/dL), Hematocrit 30% (32% to 44%), RBC count 4.2 x 106/μL (4.0 to 5.5 x 10/μL), WBC count 14,000 mm3 (5,000 to 10,000 mm3), Platelets 350,000/mm3 (150,000 to 400,000/mm3), Glucose 90 mg/dL (< 200 mg/dL), Blood cultures pending
Question 4 of 5
A nurse is admitting an 8-year-old child to the pediatric unit. A nurse is reviewing the child's electronic medical record (EMR). Which of the following findings should the nurse identify as requiring immediate follow-up? Select the 5 findings.
Correct Answer: A,B,D,E,F
Rationale: The correct answer is A, B, D, E, and F. These findings are crucial for immediate follow-up due to their significance in assessing the child's overall health status and potential complications.
A: Neurologic assessment is vital to detect any neurological deficits or changes.
B: Hemoglobin level can indicate anemia or other blood disorders.
D: White blood cell count (WB
C) helps in identifying infection or inflammation.
E: Temperature abnormalities suggest infection or other serious conditions.
F: Abdominal assessment is necessary to detect any gastrointestinal issues.
Choices C and G are not as urgent as they do not directly indicate potential life-threatening conditions requiring immediate intervention.
Extract:
A nurse is providing teaching to a 14-year-old adolescent who has a new diagnosis of type 1 diabetes mellitus.
Question 5 of 5
Which of the following statements by the adolescent indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will increase my food intake before I exercise." This statement indicates an understanding of the teaching because it shows recognition of the need to fuel the body adequately before physical activity to prevent low blood sugar levels. Increasing food intake before exercise can help maintain stable blood sugar levels during and after physical activity.
Incorrect choices:
A: Incorrect because blood pressure medicine does not affect insulin levels directly.
C: Incorrect because simply taking insulin does not mean one can eat whatever they want without considering their diet.
D: Incorrect because sugar levels do not automatically decrease with age; they may actually increase due to factors like decreased physical activity.