ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Adolescent requesting testing for STIs
Question 1 of 5
A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take?
Correct Answer: A
Rationale: The correct answer is A, obtain written consent from the client. This is appropriate because the adolescent is seeking testing for STIs, which is considered a sensitive issue requiring informed consent. Written consent ensures the client fully understands the procedure, risks, and implications. Verbal consent (
B) may not provide a documented record of consent. Contacting the client's parents (
C) may violate the adolescent's confidentiality and autonomy. Postponing testing (
D) can delay necessary care. The other choices are not relevant.
Extract:
School-age child with heart failure
Question 2 of 5
A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect? Select all that apply.
Correct Answer: A,B,D
Rationale: The correct findings for a child with heart failure are tachycardia (increased heart rate), dyspnea (difficulty breathing), and cyanosis (bluish discoloration of the skin). Tachycardia occurs due to the heart's inability to pump effectively, causing it to beat faster to compensate. Dyspnea results from fluid buildup in the lungs due to the heart's inability to adequately pump blood. Cyanosis is a sign of poor oxygenation in the blood. Weight loss, bounding peripheral pulses, and other choices are typically not expected findings in a child with heart failure. Weight gain due to fluid retention, weak or thready pulses, and other signs of poor perfusion would be more indicative of heart failure.
Extract:
Preschooler who had a tonsillectomy
Question 3 of 5
A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Notify the provider if your child is swallowing frequently. This is important because frequent swallowing may indicate bleeding post-tonsillectomy, which requires immediate medical attention.
Choice A is incorrect as using a straw can increase the risk of bleeding.
Choice C is incorrect as throat clearing can also disrupt the healing process.
Choice D is incorrect as dark brown blood between teeth is a sign of dried blood from previous bleeding, not active bleeding.
Extract:
Question 4 of 5
A nurse is preparing to administer a prescribed medication to a toddler whose parent is nearby. Which of the following actions should the nurse take to identify the toddler?
Correct Answer: B
Rationale: The correct answer is B: Check the toddler's ID band against the medical record. This is the most reliable method to accurately identify the toddler before administering medication. The ID band contains the toddler's specific information, ensuring correct patient identification. Asking another nurse (choice
A) may introduce potential for human error. Checking the room number (choice
C) does not directly verify the toddler's identity. Asking the parent (choice
D) may lead to confusion if the parent is unsure.
Extract:
Toddler with a short leg cast
Question 5 of 5
A nurse is caring for a toddler who has a short leg cast. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Pallor of the distal extremity. Pallor indicates poor blood flow, which can lead to complications like compartment syndrome. The nurse should report this finding promptly for further evaluation.
Choice A is incorrect because warmth indicates adequate circulation.
Choice B is incorrect as a positive pedal pulse is a normal finding.
Choice D is incorrect as mobility is expected with a cast in place.