ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
5-month-old infant
Question 1 of 5
A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Exhibits head lag when pulled to a sitting position. This finding indicates poor head control, a developmental milestone typically achieved by 4 months. The nurse should report this to the provider for further evaluation as it may indicate potential developmental delays or neurological issues.
Incorrect answers:
A: Unable to roll from back to abdomen - Rolling typically starts around 4-6 months, so it may not be a concern at 5 months.
B: Absent grasp reflex - The grasp reflex typically disappears around 3-4 months, so its absence at 5 months is normal.
C: Unable to hold a bottle - This milestone is usually achieved around 6-10 months, so it may not be a concern at 5 months.
Extract:
Question 2 of 5
A nurse is assessing a child for scabies. Which of the following findings should the nurse identify as a manifestation of scabies?
Correct Answer: A
Rationale: The correct answer is A: Maculopapular skin burrows on the hand. Scabies is caused by the Sarcoptes scabiei mite burrowing into the skin, resulting in characteristic burrows typically found in webs of fingers, wrists, and elbows. Scaly lesions (
B) and a rash with red macular lesions (
D) are not specific to scabies. A bull's eye edematous area (
C) is more indicative of Lyme disease.
Extract:
School-age child receiving morphine
Question 3 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: C
Rationale: The correct answer is C: Nausea. When a child is receiving morphine, nausea is a common adverse effect due to the medication's action on the gastrointestinal tract. The nurse should monitor for nausea to address it promptly and ensure the child's comfort. Stevens-Johnson syndrome (
A) is a severe skin reaction mainly caused by medications other than morphine. Prolonged wound healing (
B) is not a typical adverse effect of morphine. Renal failure (
D) is not directly associated with morphine use in school-age children.
Extract:
Question 4 of 5
A nurse is performing a cranial nerve assessment on a school-age child. Which of the following findings indicates proper functioning of the child's trigeminal nerve?
Correct Answer: D
Rationale: The correct answer is D because symmetrical jaw strength when biting down indicates proper functioning of the trigeminal nerve. This nerve controls sensation in the face and motor functions such as biting and chewing. A, B, and C are incorrect as they do not specifically assess the trigeminal nerve. A tests the glossopharyngeal nerve, B tests the vestibular nerve, and C tests the olfactory nerve. By assessing jaw strength, the nurse can determine if the child's trigeminal nerve is functioning correctly.
Question 5 of 5
A nurse is providing teaching about injury prevention to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Check clothing for loose buttons. This safety measure is important to prevent choking hazards for the toddler. Loose buttons can easily come off and pose a risk of being swallowed. This action promotes safe clothing practices, reducing the risk of accidental ingestion.
Other choices are incorrect:
A: Providing balloons for play can be dangerous as they pose a choking hazard.
B: Adjusting the water heater temperature to 54° C is too low and can lead to bacterial growth in the water.
C: Placing screens on windows is important for preventing falls but not directly related to injury prevention from clothing hazards.