ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
1-month-old infant whose parent states, 'My baby seems to cry a lot.'
Question 1 of 5
A nurse is caring for a 1-month-old infant. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Your baby's crying is a way to communicate with you." This response acknowledges the infant's cry as a form of communication, which is essential at this age. Infants cry to express their needs, such as hunger, discomfort, or fatigue. By validating the infant's communication, the nurse can promote a secure attachment and responsive caregiving.
Choices B and C are incorrect because they may imply blame on the parent or suggest that the crying is abnormal.
Choice D is incorrect as it promotes the outdated belief of letting babies cry it out to self-soothe, which can be harmful and disregards the infant's needs. It is essential to prioritize responsive caregiving and understanding the infant's cues.
Extract:
School-age child having a tonic-clonic seizure
Question 2 of 5
A nurse is caring for a school-age child who is having a tonic-clonic seizure. Which of the following actions should the nurse take?
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.
Extract:
5-year-old child up-to-date with current immunization schedule
Question 3 of 5
A nurse is preparing to administer immunizations to a 5-year-old child who is up-to-date with the current immunization schedule. Which of the following immunizations should the nurse plan to administer?
Correct Answer: C
Rationale: The correct answer is C: Varicella. The child is up-to-date with the current immunization schedule, which includes the varicella vaccine at around 12-15 months of age. Varicella vaccine provides protection against chickenpox, a highly contagious viral infection. Administering the varicella vaccine to the 5-year-old child will ensure continued immunity and prevent the child from contracting chickenpox.
Choice A (Hepatitis
B) is usually given at birth and in subsequent doses, not typically at 5 years old.
Choice B (Haemophilus influenzae type b) is usually given in infancy and not at 5 years old.
Choice D (Rotavirus) is given to infants and not usually administered at 5 years old.
Therefore, the correct choice for the nurse to administer is the Varicella vaccine.
Extract:
Preschooler with new diagnosis of celiac disease
Question 4 of 5
A nurse is caring for a preschooler who has a new diagnosis of celiac disease. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Pale, oily stools. In celiac disease, the body cannot tolerate gluten, leading to damage in the intestines. This impairs fat absorption, causing pale, oily stools due to excess fat content. Hematemesis (choice
A) is vomiting blood, not typically associated with celiac disease. Increased hemoglobin level (choice
B) is not a common finding in celiac disease as it is more related to iron-deficiency anemia seen in later stages. Redcurrant, jelly-like stools (choice
C) are indicative of intussusception, not celiac disease.
Therefore, the correct answer is D due to the malabsorption of fats in celiac disease.
Extract:
Child with asthma using a metered-dose inhaler
Question 5 of 5
A nurse is teaching a child who has asthma about using a metered-dose inhaler with a mouthpiece. Identify the sequence of steps the nurse should instruct the child to take.
Order the Items
Source Container
Correct Answer: A,B,C,D
Rationale: The correct sequence of steps for using a metered-dose inhaler with a mouthpiece is as follows:
A: Exhale slowly through the nose - This step ensures that the child's lungs are ready to receive the medication and helps in controlling breathing during inhalation.
B: Depress the canister while inhaling slowly - This step allows the child to inhale the medication effectively into their lungs.
C: Hold breath for 10 seconds - Holding the breath helps the medication to be absorbed into the lungs and provides optimal effectiveness.
D: Remove the inhaler from the mouth - This step prevents the child from accidentally inhaling more medication and ensures proper completion of the process.
Other choices are incorrect as they do not align with the correct sequence of steps required for using a metered-dose inhaler with a mouthpiece.