ATI RN
ATI Nursing Proctored Pediatric Test Banks Questions
Question 1 of 5
A nurse is assessing a child with an unrepaired ventricular septal defect. Which heart sound does the nurse expect to assess?
Correct Answer: C
Rationale: A ventricular septal defect (VSD) is a congenital heart defect characterized by a hole in the septum that separates the heart's two lower chambers (ventricles). When assessing a child with an unrepaired VSD, the nurse would expect to hear a murmur. The murmur is typically described as a harsh, holosystolic (pansystolic) murmur, best heard at the left lower sternal border. This murmur occurs due to the turbulent blood flow across the defect during systole. It is important for the nurse to recognize this characteristic murmur associated with a VSD to facilitate appropriate management and follow-up care for the child.
Question 2 of 5
The parents of a 4-month-old infant tell the nurse that they are getting a microwave oven and will be able to heat the baby's formula faster. What should the nurse recommend?
Correct Answer: A
Rationale: The nurse should recommend never heating a bottle in a microwave oven. Microwaves do not heat liquids evenly, and there is a risk of creating hot spots in the formula, which can burn the baby's mouth and throat. It is safer to heat the formula by placing the bottle in warm water or using a bottle warmer to ensure uniform heating throughout.
Question 3 of 5
Place in order the expected sequence of fine motor developmental milestones for an infant beginning with the first milestone achieved and ending with the last milestone achieved. Provide answer using lowercase letters separated by commas (e.g., a, b, c, d, e).
Correct Answer: B
Rationale: In pediatric development, fine motor skills progress in a specific sequence as infants grow. The correct answer is B) Reflex palmar grasp. This milestone typically occurs around 0-6 months of age and involves the infant's automatic response to the stimulation of their palm, causing them to grasp an object placed in their hand. This reflexive action is an early indicator of the infant's neuromuscular development. Option A) Voluntary palmar grasp comes after the reflex palmar grasp, usually around 6-9 months. At this stage, infants start to intentionally grasp objects placed in their hand, showing the progression from reflexive to voluntary control. Option C) Puts objects into a container is a later milestone, occurring around 12-15 months. Infants at this stage demonstrate improved hand-eye coordination and the ability to manipulate objects by placing them into containers, showcasing further fine motor development. Option D) Neat pincer grasp is the last milestone in the sequence, usually seen around 9-12 months. This skill involves using the thumb and forefinger to pick up small objects, indicating advanced fine motor control and dexterity. Understanding the expected sequence of fine motor developmental milestones in infants is crucial for healthcare providers, especially pediatric nurses, as it helps assess a child's growth and development, identify any potential delays, and provide appropriate interventions or referrals if needed. By recognizing these milestones, healthcare professionals can support and promote optimal development in infants.
Question 4 of 5
A school nurse is conducting vision and hearing testing on fifth-grade children. Which level of prevention is the nurse demonstrating?
Correct Answer: B
Rationale: The school nurse conducting vision and hearing testing on fifth-grade children is demonstrating the secondary level of prevention. Secondary prevention involves identifying and treating health conditions early to prevent their progression. In this scenario, the nurse's aim is to detect any existing vision or hearing problems in the children at an early stage so that appropriate interventions can be initiated to prevent further impairment or complications. This aligns with the goals of secondary prevention, which focuses on early detection, prompt intervention, and minimizing the impact of a health condition.
Question 5 of 5
A 14-year-old boy is being admitted to the hospital for an appendectomy. Which roommate should the nurse assign with this patient?
Correct Answer: C
Rationale: The nurse should assign the 14-year-old boy recovering from an appendectomy to Roommate C, the 15-year-old boy admitted with a vasoocclusive sickle cell crisis. This decision is based on providing similar age groups and conditions for mutual support and understanding. Both patients are teenagers and are experiencing health challenges that involve pain management and supportive care. This pairing can offer emotional and social benefits as they navigate their hospital stay together. It is important to consider factors like age, condition, and potential social interactions when assigning roommates in a healthcare setting to promote a positive environment for healing and recovery.