ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
School-age child with pertussis
Question 1 of 5
A charge nurse is observing a staff nurse who is caring for a child who has pertussis. Which of the following actions by the staff nurse indicates an understanding of infection control practices?
Correct Answer: B
Rationale: The correct answer is B: Maintains droplet precautions while the child is coughing and sneezing. This is the correct action because pertussis is spread through droplets when the child coughs or sneezes. Droplet precautions involve wearing a mask within close proximity to the patient to prevent the spread of respiratory secretions.
Explanation for why other choices are incorrect:
A: Airborne precautions are not necessary for pertussis, as it is transmitted through droplets.
C: Wearing gloves when assisting the child to the bathroom is a standard precaution for contact with bodily fluids, but it does not specifically address the transmission of pertussis.
D: Applying a face mask after entering the child's room is not as effective as maintaining droplet precautions during close contact with the child.
Overall, choice B is the most appropriate in preventing the transmission of pertussis in this scenario.
Extract:
Child with heart failure
Question 2 of 5
A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis?
Correct Answer: C
Rationale: The correct answer is C: Tachypnea. In heart failure, the heart is unable to pump effectively, leading to inadequate oxygen delivery. Tachypnea occurs as the body compensates by increasing respiratory rate to improve oxygenation. Bradycardia (
A) is a slow heart rate and not typically seen in heart failure. Increased appetite (
B) is not a typical symptom of heart failure, as patients often have poor appetite due to symptoms like fluid retention. Tremors (
D) are not directly related to heart failure. In summary, tachypnea is a common clinical manifestation in heart failure due to the body's compensatory mechanism to improve oxygenation.
Extract:
Adolescent with an NG tube
Question 3 of 5
A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Check the pH of the gastric secretions. This is the first action the nurse should take to ensure proper placement of the NG tube in the stomach. Checking the pH helps confirm that the tube is in the stomach and not in the lungs or esophagus, reducing the risk of aspiration. It is a critical safety measure before administering enteral feeding.
Incorrect choices:
B: Attaching the feeding bag tubing - This should come after verifying tube placement to prevent complications.
C: Flushing the tube - Flushing can be done after verifying tube placement and before feeding.
D: Setting the administration rate - This should only be done after the tube placement is confirmed to avoid complications.
Extract:
Question 4 of 5
A nurse is teaching a newly licensed nurse about infant safety. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Provide an infant with a one-piece pacifier for non-nutritive sucking. This is the correct choice because using a one-piece pacifier reduces the risk of choking compared to pacifiers with separate parts. Pacifiers can also help reduce the risk of Sudden Infant Death Syndrome (SIDS) when used during sleep.
Choice B is incorrect because infants should not be placed in a high chair until they can sit up independently, usually around 6 months old.
Choice C is wrong as car seats should never be placed behind an airbag, as it can be dangerous in the event of a crash.
Choice D is incorrect because infants should be placed on a firm mattress on their back to reduce the risk of SIDS.
Extract:
15-year-old adolescent about a medication for STI
Question 5 of 5
A nurse is providing teaching to a 15-year-old adolescent about a medication used to treat a sexually transmitted infection. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D because asking the client how they prefer to learn new information involves individualizing the teaching approach to best suit the adolescent's learning style and preferences. This approach is crucial in promoting understanding and retention of the information provided. It also empowers the adolescent to take an active role in their own healthcare, which is important for their autonomy and development.
Choice A is incorrect as the nurse should provide direct education and support instead of redirecting the client to the pharmacy.
Choice B is not ideal because the adolescent should be the primary recipient of the education about their own health.
Choice C is not recommended as it does not actively involve the adolescent in the learning process. Overall, choice D is the most appropriate as it respects the adolescent's autonomy and promotes effective communication and learning.