ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
6-month-old infant
Question 1 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.
Question 2 of 5
A nurse in a pediatric intensive care unit is assessing a 6-month-old infant. Which of the following findings should the nurse identify as an indication of neurological impairment?
Correct Answer: C
Rationale: The correct answer is C. The nurse should identify a drowsy infant who responds immediately to verbal stimuli as an indication of neurological impairment. This finding suggests altered consciousness, which can be a sign of neurological dysfunction. The infant's drowsiness indicates decreased alertness, while the immediate response to verbal stimuli may point towards an abnormal neurological response. This combination of symptoms raises concern for potential neurological issues.
Choice A is incorrect because an oxygen saturation of 96% on room air is within the normal range for a 6-month-old infant.
Choice B is incorrect as self-reporting pain on a scale of 0 to 10 is not applicable to an infant.
Choice D is incorrect as the blood pressure of 100/60 mm Hg is within the normal range for a 6-month-old.
Extract:
School-age child following plaster cast for right forearm fracture
Question 3 of 5
A nurse is planning care for a school-age child following the application of a plaster cast for a right forearm fracture. Which of the following interventions should the nurse plan to implement?
Correct Answer: B
Rationale: The correct answer is B: Apply pieces of moleskin around the edges of the cast. This intervention helps prevent skin irritation and breakdown at the edges of the cast. Moleskin acts as a barrier between the cast and the skin, reducing friction and pressure. It promotes comfort and skin integrity.
Choice A is incorrect because applying plastic covering to the cast until dry can trap moisture, leading to skin maceration.
Choice C is incorrect as repositioning the cast with fingertips can compromise its integrity and fit.
Choice D is incorrect because maintaining the casted extremity below heart level can increase swelling and compromise circulation.
Extract:
Infant who weighs 7.8 kg (17.2 lb) admitted yesterday for moderate dehydration
Question 4 of 5
A nurse is caring for an infant who weighs 7.8 kg (17.2 lb) and was admitted yesterday for treatment of moderate dehydration. Which of the following findings indicates to the nurse that the infant's condition is improving?
Correct Answer: D
Rationale: The correct answer is D: Fontanelle is level and soft. This finding indicates improved hydration status in infants. The fontanelle is a soft spot on the infant's skull that can indicate dehydration if sunken or bulging. A level and soft fontanelle suggest adequate hydration and improved condition.
A: Respiratory rate 70/min - This finding does not directly indicate improvement in dehydration status.
B: Capillary refill is greater than 3 seconds - Prolonged capillary refill time is a sign of poor perfusion and dehydration.
C: Dry mucous membranes - Dry mucous membranes are a sign of dehydration and do not indicate improvement.
Summary: The other choices are incorrect as they do not specifically reflect improvement in the infant's dehydration status.
Extract:
Client postoperative following placement of a halo vest to manage a cervical vertebral fracture
Question 5 of 5
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Assess the pin sites for infection once every other day. This is crucial in postoperative care of a client with a halo vest to prevent infection, which can lead to serious complications. By assessing the pin sites regularly, the nurse can detect any signs of infection early and initiate appropriate treatment promptly. Repositioning the client using a turning sheet (
A) may be necessary for comfort but is not the priority. Tightening the screws on the halo device (
B) without specific orders can cause harm. Encouraging flexion and extension of the neck (
C) is contraindicated as it can compromise the stability provided by the halo vest.