ATI RN
ATI Pediatrics Test Bank Questions
Question 1 of 5
The nurse is caring for a high-risk newborn with an umbilical catheter in a radiant warmer. The nurse notes blanching of the feet. Which is the most appropriate nursing action?
Correct Answer: C
Rationale: When the nurse notes blanching of the feet in a high-risk newborn with an umbilical catheter in a radiant warmer, the most appropriate nursing action is to wrap the feet loosely in a prewarmed blanket. Blanching indicates poor circulation to the area, which can be a result of cold stress or constriction of blood vessels. By wrapping the feet in a prewarmed blanket, the nurse can help to restore adequate blood flow to the feet and improve circulation. This action addresses the potential cause of the blanching and promotes the newborn's comfort and well-being.
Question 2 of 5
Which is most descriptive of the clinical manifestations observed in neonatal sepsis?
Correct Answer: D
Rationale: Neonatal sepsis is a serious condition in newborns that is challenging to diagnose due to nonspecific and variable clinical signs. Some of the common manifestations of neonatal sepsis include poor feeding, lethargy, unstable temperature (hypothermia or hyperthermia), respiratory distress, apnea, irritability, and jaundice. The presence of hypothermia is often noted in neonatal sepsis, but it is essential to keep in mind that clinical signs can be subtle and nonspecific in these cases. Seizures, sudden hyperthermia, profuse sweating, decreased urinary output, and frequent stools are less specific to neonatal sepsis and may be seen in other conditions as well. Regular monitoring, prompt evaluation, and appropriate treatment are crucial in managing neonatal sepsis due to the nonspecific nature of its clinical presentation.
Question 3 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 4 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 5 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.