ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Preschool-age child who recently experienced the death of a sibling
Question 1 of 5
A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling. Which of the following reactions is an age-appropriate response to death?
Correct Answer: C
Rationale:
Correct Answer: C - The child is curious about what happened to the sibling's body.
Rationale: It is age-appropriate for preschool-age children to be curious about death and what happens to the body. This curiosity is a natural part of their development as they begin to understand the concept of death. It is a way for them to make sense of the situation and cope with their emotions.
Incorrect
Choices:
A: The child feels responsible for the sibling's death - Preschool-age children typically do not have the cognitive ability to understand complex concepts like responsibility for death.
B: The child views the sibling's death as permanent - Preschool-age children may not fully grasp the permanence of death.
D: The child can give a logical explanation for the sibling's death - Preschool-age children may not have the cognitive ability to provide logical explanations for death events.
Extract:
2-year-old child
Question 2 of 5
A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Frequent negative responses.
Toddlers often exhibit frequent negative responses as they are exploring boundaries and asserting independence. This behavior is a common part of toddler development as they learn to express their emotions and preferences. Increased dependency (
A) is not typically seen in toddlers, as they are striving for autonomy. Less emotionally labile (
B) suggests stability in emotions, which is not characteristic of toddler behavior.
Toddlers thrive on routines, so they are not usually resistant to routines (
C).
Extract:
School-age child with juvenile idiopathic arthritis
Question 3 of 5
A nurse is providing teaching to the guardian of a school-age child who has juvenile idiopathic arthritis. Which of the following responses by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will encourage my child to participate in physical activities." This response indicates an understanding of the teaching because physical activities help maintain joint mobility and reduce stiffness in juvenile idiopathic arthritis. It also promotes overall physical and mental well-being.
Choice B is incorrect because cold packs are not recommended for juvenile idiopathic arthritis as they can worsen symptoms by increasing stiffness.
Choice C is incorrect because NSAIDs should be administered with food to minimize gastrointestinal side effects, not before meals.
Choice D is incorrect because it does not empower the child to take care of themselves and manage their condition independently.
Extract:
10-month-old infant having difficulty eating, fed goat milk
Question 4 of 5
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale:
Correct Answer: B - Offer commercially prepared formula.
Rationale: Commercially prepared formula is specifically formulated to meet the nutritional needs of infants. Goat milk lacks essential nutrients such as folate and vitamin B12, which are crucial for infant growth and development. Switching to soy milk (choice
A) is not recommended as it may also lack essential nutrients and can cause allergies. Warming goat milk (choice
C) does not address the nutritional deficiencies. Reinitiating breastfeeding (choice
D) may not be feasible if the mother is unable to do so. Commercially prepared formula is the best option to ensure the infant receives proper nutrition.
Extract:
6-month-old infant
Question 5 of 5
A nurse in a pediatric clinic is assessing a 6-month-old infant. Which of the following findings should the nurse identify as an indication of a visual impairment?
Correct Answer: C
Rationale: The correct answer is C because at 6 months, infants should be able to fixate and follow an object. Failure to do so may indicate a visual impairment. Reacting to bright light (
A) is a normal response. A symmetrical corneal light reflex (
B) is a normal finding. The presence of a red reflex (
D) is also normal.