ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: The correct answer is B: Doll's eye reflex intact. This reflex, also known as oculocephalic reflex, should not be present in infants beyond 3 months old. It involves the eyes moving in the opposite direction of head movement, which is abnormal in older infants. This finding could indicate a neurological issue and should be reported to the provider for further evaluation.
Choice A is normal as lack of head lag at 4 months indicates appropriate muscle tone.
Choice C is normal as infants should start producing tears when crying around this age.
Choice D is normal in infants under 2 years old as the Babinski reflex is present until this age.
Question 2 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Facial twitching. This finding is the priority because it could indicate a neurological issue or seizure activity, which can be life-threatening in a child with sickle cell anemia. Kyphosis (
A) is a spinal deformity that may require monitoring but is not as urgent as facial twitching. Constipation (
B) and enuresis (
C) are common issues in children and can be managed with interventions such as dietary changes or bladder training. Facial twitching (
D) requires immediate attention as it may be a sign of a more serious complication.
Question 3 of 5
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
Correct Answer: C
Rationale: The correct answer is C: Monitor for pallor or swelling in the child's affected hand. This is the priority information because it can indicate complications such as impaired circulation or compartment syndrome, which require immediate medical attention to prevent permanent damage. Skin irritation at the cast edges (choice
A) can be addressed with padding adjustments but is not as urgent. Restricting strenuous activities (choice
B) is important but not the priority. Using a hair dryer on cool setting to relieve itching (choice
D) can cause burns and should be avoided.
Extract:
Nurses' Notes: 0700: 7 year old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor. Vital Signs: 0715: Temperature 38 C (100.4 F), Heart rate 80/min, Respiratory rate 22/min, Blood pressure 106/65 mm Hg. 0930: Temperature 38.4 C (101.1 F), Heart rate 90/min, Respiratory rate 23/min, Blood pressure 105/65 mm Hg. Provider Prescription: Sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO, Salicylic acid 20 mg/kg/dose every 4 hr as needed for pain and fever
Question 4 of 5
The nurse is planning care for the client. For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Intervention | Anticipated |
|---|---|
| Educate the child about proper perineal hygiene | |
| Administer sulfamethoxazole and trimethoprim | |
| Administer salicylic acid for pain and fever | |
| Ensure the child receives a maximum of 1,200 mL/day of fluid | |
| Advise child's guardian about the use of sunscreen |
Correct Answer: A,B,E
Rationale: [1,0,1]
Correct Answer: A,B,E
Rationale:
A: Educating the child about proper perineal hygiene is anticipated to prevent infections.
B: Administering sulfamethoxazole and trimethoprim is anticipated for treating infections.
E: Advising about sunscreen is anticipated to prevent sunburn.
Others are contraindicated as salicylic acid may not be suitable for pain and fever, fluid intake should be individualized.
Extract:
Question 5 of 5
A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Avoid raw fruits and vegetables in the child's diet. Neutropenia is a condition characterized by low neutrophil count, leading to increased susceptibility to infections. Raw fruits and vegetables may harbor bacteria that can cause infections in immunocompromised individuals.
Therefore, avoiding raw produce helps reduce the risk of infection. Administering vaccines prior to discharge (
Choice
A) may be important for other conditions, but in neutropenia, live vaccines are contraindicated. Bathing the child every other day (
Choice
C) and obtaining rectal temperature daily (
Choice
D) are not specific to managing neutropenia.