ATI RN Pediatrics 2023 | Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Tachypnea. In heart failure, the heart is unable to pump effectively, leading to inadequate oxygen delivery. Tachypnea occurs as the body compensates by increasing respiratory rate to improve oxygenation. Bradycardia (
A) is a slow heart rate and not typically seen in heart failure. Increased appetite (
B) is not a typical symptom of heart failure, as patients often have poor appetite due to symptoms like fluid retention. Tremors (
D) are not directly related to heart failure. In summary, tachypnea is a common clinical manifestation in heart failure due to the body's compensatory mechanism to improve oxygenation.

Correct Answer: A

Rationale: The correct answer is A: Check the pH of the gastric secretions. This is the first action the nurse should take to ensure proper placement of the NG tube in the stomach. Checking the pH helps confirm that the tube is in the stomach and not in the lungs or esophagus, reducing the risk of aspiration. It is a critical safety measure before administering enteral feeding.

Incorrect choices:
B: Attaching the feeding bag tubing - This should come after verifying tube placement to prevent complications.
C: Flushing the tube - Flushing can be done after verifying tube placement and before feeding.
D: Setting the administration rate - This should only be done after the tube placement is confirmed to avoid complications.

Correct Answer: A

Rationale: The correct answer is A: Provide an infant with a one-piece pacifier for non-nutritive sucking. This is the correct choice because using a one-piece pacifier reduces the risk of choking compared to pacifiers with separate parts. Pacifiers can also help reduce the risk of Sudden Infant Death Syndrome (SIDS) when used during sleep.


Choice B is incorrect because infants should not be placed in a high chair until they can sit up independently, usually around 6 months old.
Choice C is wrong as car seats should never be placed behind an airbag, as it can be dangerous in the event of a crash.
Choice D is incorrect because infants should be placed on a firm mattress on their back to reduce the risk of SIDS.

Correct Answer: D

Rationale: The correct answer is D because asking the client how they prefer to learn new information involves individualizing the teaching approach to best suit the adolescent's learning style and preferences. This approach is crucial in promoting understanding and retention of the information provided. It also empowers the adolescent to take an active role in their own healthcare, which is important for their autonomy and development.


Choice A is incorrect as the nurse should provide direct education and support instead of redirecting the client to the pharmacy.
Choice B is not ideal because the adolescent should be the primary recipient of the education about their own health.
Choice C is not recommended as it does not actively involve the adolescent in the learning process. Overall, choice D is the most appropriate as it respects the adolescent's autonomy and promotes effective communication and learning.

Correct Answer: A

Rationale: The correct action is A: Time the episode. Timing the seizure helps monitor its duration, which is crucial for determining if medical intervention is needed. Administering chlorothiazide (
B) is not indicated for seizures. Placing the child in a prone position (
C) can lead to airway obstruction. Holding the child down (
D) can cause injury and is not recommended during a seizure.