ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: D
Rationale: The correct answer is D: Continuous swallowing. Following a tonsillectomy and adenoidectomy, continuous swallowing can indicate hemorrhage as the child may be swallowing blood. This finding is crucial as it can lead to airway compromise and further complications.
A: Heart rate 54/min is not necessarily indicative of hemorrhage in this context.
B: Flushing of the face could be a sign of fever or anxiety, not necessarily hemorrhage.
C: Blood pressure 95/56 mm Hg alone may not be a clear indication of hemorrhage in this case.
Question 2 of 5
A nurse is assessing a child who has measles. Which of the following areas should the nurse inspect for Koplik spots?
Correct Answer: C
Rationale: The correct answer is C. Koplik spots are small, white spots with a blue-white center on the buccal mucosa opposite the molars. This area (
C) is where the nurse should inspect for Koplik spots in a child with measles. The other choices (A, B, D, E, F, G) are incorrect because Koplik spots specifically appear on the buccal mucosa and not on other areas such as the tongue (
A), palate (
B), or lips (
D).
Therefore, inspecting these areas would not help identify Koplik spots.
Extract:
A nurse is working in a nursing home.
Question 3 of 5
What is the first priority for the nurse in this situation?
Correct Answer: A
Rationale: The correct answer is A: Ensure that all patients are moved out of harm's way. The first priority for the nurse in this situation is always the safety and well-being of the patients. Moving them out of harm's way ensures their immediate protection from any potential danger. This action takes precedence over other tasks such as extinguishing the fire, removing flammable materials, or evacuating the building. By prioritizing patient safety first, the nurse can prevent further harm and ensure the best possible outcome for the patients. It is crucial for the nurse to focus on patient care and protection before addressing other aspects of the situation.
Extract:
Nurses' Notes: 0915: Received the child awake, alert, and crying. Parent states that child was playing with 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. 0930: Child is lying on parent's chest with eyes open and requesting 'sippy cup.' Continues to have expiratory wheezing in bilateral upper lobes. Preparing child for diagnostic testing. Vital Signs: 0915: Blood pressure 88/45 mm Hg, Heart rate 90/min, Respiratory rate 30/min, Axillary temperature 36.9° C (98.4° F), Oxygen saturation 96%. 0930: Blood pressure 86/46 mm Hg, Heart rate 88/min, Respiratory rate 28/min, Axillary temperature 36.9° C (98.4° F), Oxygen saturation 95%. Assessment: 0915: Child awake and sobbing, asking parent for 'sippy cup' with excessive drooling and occasionally gagging. Breath sounds with small expiratory wheezing noted in bilateral upper lobes; respirations slightly elevated as child continues to cry and sob. Oxygen saturation 96% on room air. Penlight used to inspect throat with no visual signs of foreign object; no visual objects in child's nose or ears upon inspection. Pupils equal, round, and reactive to light and accommodation. Abdomen soft and nontender with active bowel sounds in all four quadrants. Skin warm, pink, and smooth. Yellow urine noted in child's diaper. Provider notified of assessment findings. Laboratory Results: 0930: X-ray of the neck, chest, and abdomen completed. Biplane radiographic study identifies object in esophagus. No foreign objects visualized in the chest or abdomen.
Question 4 of 5
Complete the following sentence by using the list of options. The nurse should first __ followed by __.
Correct Answer: A,B
Rationale: The correct answer is A,B. Firstly, keeping the child NPO (nothing by mouth) is essential before a flexible endoscopy to prevent aspiration. Secondly, preparing the child for the procedure ensures readiness and cooperation.
Choice C and E focus on prevention of choking hazards, not directly related to the procedure.
Choice D is important but typically done after the initial preparations. Waiting for return of gag reflex (F) is not necessary before a flexible endoscopy.
Extract:
Question 5 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.