ATI RN
ATI Pediatrics Test Bank Questions
Question 1 of 5
A blood sample for measurement of bilirubin is required from a newborn receiving phototherapy. In what environment should this blood sample be drawn?
Correct Answer: D
Rationale: The blood sample for measurement of bilirubin should be drawn when the newborn has been off phototherapy for 30 to 60 minutes. The reason for this is that phototherapy can alter bilirubin levels through photoisomerization, making it challenging to interpret the results accurately while the newborn is still under the lights. Allowing a period of 30 to 60 minutes for the newborn to be off phototherapy helps to ensure that the bilirubin level obtained from the blood sample reflects a more accurate baseline level. This practice helps in guiding clinical management decisions related to managing hyperbilirubinemia in newborns.
Question 2 of 5
Which communication technique should the nurse avoid when interviewing children and their families? TestBankWorld.org
Correct Answer: C
Rationale: When interviewing children and their families, nurses should avoid directing the focus. Directing the focus involves steering the conversation in a certain direction, which may hinder open communication and the exploration of important issues. It is essential to allow children and their families to express themselves freely and openly, which can lead to a more comprehensive understanding of their perspectives and needs. Avoiding directing the focus can help build trust and rapport with the children and their families, leading to more effective communication and care.
Question 3 of 5
The nurse is preparing to perform a physical assessment on a 10-year-old girl. The nurse gives her the option of her mother either staying in the room or leaving. How should this action be interpreted?
Correct Answer: A
Rationale: It is appropriate for the nurse to offer the 10-year-old girl the option of having her mother stay in the room during the physical assessment because of the child's age. At this age, children may start to seek more independence and privacy, and allowing the child to make the decision can help promote a sense of autonomy and respect for her feelings. It is important to consider the child's preferences and comfort during medical procedures, which can help build trust and improve the overall experience for the child.
Question 4 of 5
Where is the appropriate placement of a tongue blade for assessment of the mouth and throat?
Correct Answer: A
Rationale: The appropriate placement of a tongue blade for assessment of the mouth and throat is at the center back area of the tongue. This location allows the healthcare provider to depress the tongue gently to have a clear view of the oral cavity, tonsils, and throat structures. Placing the tongue blade on the side of the tongue may not provide adequate visualization, and placing it against the soft palate or on the lower jaw would not help in examining the mouth and throat effectively.
Question 5 of 5
The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed. How should the nurse interpret this finding?
Correct Answer: A
Rationale: The closure of the anterior fontanel in a 14-month-old infant is a normal finding. The anterior fontanel typically closes by around 18 months of age. The closure of the fontanel is a sign of normal growth and development as the bones of the skull fuse together. It is not a cause for concern at this age, and the nurse should document this as a normal finding.