ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: D
Rationale: The correct answer is D: Bedside computer keyboard. This is a common source of healthcare-associated infections due to frequent touch by multiple individuals without proper disinfection. Keyboards can harbor bacteria and viruses, increasing the risk of cross-contamination. Disposable diapers (
A) are single-use and not typically associated with infections. Protective plastic gowns (
B) are worn to prevent contamination, not cause it. Unopened bottles of formula (
C) are sterile until opened, posing minimal infection risk. The keyboard (
D) is the most likely source of infection due to its constant use and lack of proper cleaning.
Question 2 of 5
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Rationale for correct answer (
C): Weighing the child daily is crucial in monitoring fluid status in nephrotic syndrome. Sudden weight gain indicates fluid retention, a common symptom. This intervention helps assess treatment effectiveness and prevent complications like edema and hypertension.
Summary of incorrect choices:
A: Positioning supine can worsen edema due to fluid accumulation in dependent areas.
B: Limiting calorie intake may be necessary in some cases, but not a priority in the acute stage.
D: Increasing fluid intake may exacerbate fluid overload and worsen edema.
E, F, G: No information provided.
Question 3 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicates the treatment is effective?
Correct Answer: D
Rationale: The correct answer is D because holding urine for about 15 minutes before going to the bathroom is an indication of improved bladder control, which is the goal of conditioning therapy for enuresis. This demonstrates that the child is developing the ability to delay urination, a key aspect of the treatment.
Choice A is incorrect because going to the bathroom immediately when the alarm goes off does not show improved bladder control.
Choice B is incorrect as drinking less may not necessarily indicate treatment effectiveness.
Choice C is incorrect as Kegel exercises are not typically part of conditioning therapy for enuresis.
Extract:
Nurses' Notes (0700 hrs): Received the child awake, alert, and crying. Parent states that the child was playing with a remote control toy and when the parent heard the child crying, they noticed that a battery was missing from the toy. The parent states that the child was drooling more than usual and witnessed them gagging periodically. Child is lying on the parent's chest with eyes open and requesting a ‘sippy cup'. Continues to have expiratory wheezing in bilateral upper lobes. Preparing the child for diagnostic testing; Vital Signs (0700 hrs): Heart rate: 90/min, Blood pressure: 88/45 mm Hg, Respiratory rate: 30/min, Oxygen saturation: 96%, Axillary temperature: 36.9° C (98.4° F); Diagnostic Results (0730 hrs): X-ray of the neck, chest, and abdomen completed. Biplane radiographic study identifies an object in the esophagus. No foreign objects visualized in the chest or abdomen; Provider's Prescriptions (0745 hrs): Keep the child NPO, Prepare the child for flexible endoscopy, Obtain informed consent from the parents, Monitor the child closely for return of gag reflex; A nurse in the emergency department is caring for a toddler.
Question 4 of 5
Complete the following sentence by using the list of options. The nurse should first:
Correct Answer: D
Rationale: The correct answer is D: Obtain informed consent. This is the first step the nurse should take before any medical procedure to ensure the patient understands the procedure, risks, and gives permission. A: Preparing the child for endoscopy, B: Encouraging parents to inspect toys, and C: Monitoring for gag reflex are all important steps but not the first priority. A thorough explanation of the procedure and obtaining consent must precede any action to ensure patient autonomy and safety.
Extract:
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation.
Question 5 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Ensure two nurses logroll the adolescent every 2 hours. This is essential post-surgery to prevent complications such as pressure ulcers and maintain proper body alignment. It ensures even distribution of pressure and reduces the risk of musculoskeletal injuries. Option A is incorrect as early ambulation may not be safe 12 hours post-surgery. Option C is not as crucial as logrolling for preventing complications. Option D is incorrect as oral intake should be cautiously initiated.