ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct action for the nurse to take first is to apply pressure just above the insertion site. This is crucial in controlling the bleeding and preventing further complications. By applying pressure, the nurse can help to stop the bleeding and stabilize the patient's condition. Reinforcing the dressing (choice
A) may not effectively address the immediate issue of active bleeding. Obtaining vital signs (choice
B) can wait until the bleeding is controlled. Monitoring the pulse distal to the insertion site (choice
D) is important but should come after addressing the bleeding.
Therefore, applying pressure above the insertion site is the priority to manage the immediate concern of excessive bleeding in this situation.
Question 2 of 5
A nurse is interviewing the parents of a 3-year-old child. Which of the following statements from the parents should the nurse recognize as a manifestation of a hearing loss in the child?
Correct Answer: B
Rationale: The correct answer is B: Our child repeats statements often. This is indicative of echolalia, a common behavior in children with hearing loss who may repeat what they hear due to difficulty processing language. Monotone voice (
A) is more related to speech development. Responding quickly in short sentences (
C) can be a sign of good language skills. Preference for group play (
D) doesn't directly correlate with hearing loss.
Question 3 of 5
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: A
Rationale: The correct answer is A: Oral electrolyte solution. This is recommended for infants with acute diarrhea to prevent dehydration and restore electrolyte balance. It is easily absorbed and helps replace lost fluids and electrolytes. Applesauce (
B) and white grape juice (
D) can worsen diarrhea due to their high sugar content. Chicken soup (
C) may be too heavy for an infant's digestive system. Other choices are not relevant for managing diarrhea in infants.
Question 4 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: D
Rationale: The correct answer is D: Monitor for pallor or swelling in the child's affected hand. This is the priority information to include because it indicates a potential complication, such as impaired circulation or compartment syndrome, which requires immediate attention to prevent further harm. Pallor or swelling in the affected hand could be signs of decreased blood flow or increased pressure within the cast, leading to tissue damage. It is crucial to monitor these signs closely to prevent any serious consequences.
Explanations for why the other choices are incorrect:
A: Using a hair dryer on a cool setting to relieve itching is not a priority compared to monitoring for circulation issues.
B: Examining the child for skin irritation at the cast edges is important but not as critical as monitoring for pallor or swelling.
C: Restricting strenuous activities for 3 days is important for proper healing but does not address immediate complications.
Overall, monitoring for pallor or swelling is the priority as it requires immediate action to prevent potential complications.
Extract:
A nurse on a pediatric unit is caring for four children.
Question 5 of 5
The nurse should use droplet precautions for which of the following children?
Correct Answer: C
Rationale: The correct answer is C: A toddler who has seasonal influenza. Droplet precautions are used for infections transmitted through respiratory droplets. Seasonal influenza is a highly contagious respiratory illness spread through droplets.
Choice A (viral conjunctivitis) does not require droplet precautions as it is transmitted through direct contact with eye secretions.
Choice B (pediculosis capitis) is spread through direct head-to-head contact, not respiratory droplets.
Choice D (hepatitis
A) is transmitted through the fecal-oral route, not respiratory droplets.
Therefore, the correct choice is C as it aligns with the mode of transmission for droplet precautions.