ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider?
Correct Answer: D
Rationale: The correct answer is D: Tachypnea. In infants with respiratory syncytial virus (RSV), tachypnea (rapid breathing) is a concerning sign indicating respiratory distress and potential respiratory failure. Reporting this finding promptly to the provider is crucial for timely intervention. Rhinorrhea (
A), pharyngitis (
B), and coughing (
C) are common symptoms of RSV but do not signify immediate danger. Tachypnea (
D) requires urgent attention due to its association with respiratory compromise.
Question 2 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: C
Rationale: The correct answer is C: Notify the provider if your child is swallowing frequently. This is important post-tonsillectomy as it may indicate bleeding, which needs immediate medical attention.
Choice A is incorrect as dark brown blood between teeth is not a typical sign of bleeding.
Choice B is incorrect as straws can increase the risk of bleeding.
Choice D is incorrect as clearing the throat can irritate the surgical site.
Question 3 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 has the right to make their own healthcare decisions regarding STI testing. Written consent ensures the client understands the procedure and gives informed permission. Verbal consent (choice
B) may not be sufficient for such a sensitive test. Contacting the client's parents (choice
C) may violate the adolescent's confidentiality and autonomy. Postponing the testing (choice
D) could lead to potential harm if the adolescent needs immediate medical attention.
Question 4 of 5
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax. Which of the following oils should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Lavender. Lavender oil is well-known for its calming and relaxing properties, making it ideal for helping children relax. It has been shown to reduce anxiety and improve sleep quality. Lavender oil is gentle and safe for children when used properly. Eucalyptus (
B) and Tea tree (
D) oils are not recommended for children due to potential toxicity. Jasmine (
C) is not typically used for relaxation purposes in children.
Question 5 of 5
A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Check the pH of the gastric secretions. This should be done first to ensure proper tube placement in the stomach. If the pH is acidic (pH < 4), it indicates the tube is in the stomach. If the pH is alkaline (pH > 6), it indicates the tube might be in the respiratory tract or intestine. This step is crucial to prevent complications such as aspiration. Setting the administration rate on the feeding pump (
B) should come after confirming tube placement. Flushing the tube with water (
C) should be done after confirming tube placement. Attaching the feeding bag tubing to the end of the NG tube (
D) should only be done after confirming proper tube placement to avoid complications.