ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Child at end-of-life stage
Question 1 of 5
A nurse is caring for a child on a pediatric unit who is at the end-of-life stage. Which of the following actions should the nurse take to help the sibling cope with the child's diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Consult the Child Life Specialist to speak with the sibling. This is the best option because Child Life Specialists are trained to help children cope with illness and loss. They can provide age-appropriate explanations, emotional support, and coping strategies for the sibling. This will help the sibling process their feelings and understand what is happening in a safe and supportive environment.
Summary of incorrect choices:
B: Discouraging the sibling from talking about their feelings is not helpful as it can lead to emotional suppression and increased distress.
C: Limiting the sibling's time at the hospital may isolate them from the child and prevent them from saying goodbye or being involved in the process.
D: Having the sibling leave the room during the child's care can disrupt the sibling bond and prevent them from being present for their sibling in a difficult time.
Extract:
Question 2 of 5
A nurse in a pediatric clinic is planning care for four children. The nurse should anticipate a provider's prescription for an auditory evaluation for which of the following children?
Correct Answer: B
Rationale: The correct answer is B. A 3-month-old infant discharged after bacterial meningitis is at risk for hearing loss due to potential damage to the auditory nerve or inner ear structures. Early detection is crucial for intervention.
Choice A is incorrect because stuttering is not a direct indication for an auditory evaluation.
Choice C is incorrect as erythromycin does not typically affect hearing.
Choice D is incorrect as loose stools and babbling are not indicative of needing an auditory evaluation at this age.
Extract:
6-month-old infant
Question 3 of 5
A nurse in a pediatric clinic is assessing a 6-month-old infant. Which of the following findings should the nurse identify as an indication of a visual impairment?
Correct Answer: C
Rationale: The correct answer is C because at 6 months, infants should be able to fixate and follow an object. Failure to do so may indicate a visual impairment. Reacting to bright light (
A) is a normal response. A symmetrical corneal light reflex (
B) is a normal finding. The presence of a red reflex (
D) is also normal.
Question 4 of 5
A nurse in a pediatric intensive care unit is assessing a 6-month-old infant. Which of the following findings should the nurse identify as an indication of neurological impairment?
Correct Answer: C
Rationale: The correct answer is C. The nurse should identify a drowsy infant who responds immediately to verbal stimuli as an indication of neurological impairment. This finding suggests altered consciousness, which can be a sign of neurological dysfunction. The infant's drowsiness indicates decreased alertness, while the immediate response to verbal stimuli may point towards an abnormal neurological response. This combination of symptoms raises concern for potential neurological issues.
Choice A is incorrect because an oxygen saturation of 96% on room air is within the normal range for a 6-month-old infant.
Choice B is incorrect as self-reporting pain on a scale of 0 to 10 is not applicable to an infant.
Choice D is incorrect as the blood pressure of 100/60 mm Hg is within the normal range for a 6-month-old.
Extract:
School-age child following plaster cast for right forearm fracture
Question 5 of 5
A nurse is planning care for a school-age child following the application of a plaster cast for a right forearm fracture. Which of the following interventions should the nurse plan to implement?
Correct Answer: B
Rationale: The correct answer is B: Apply pieces of moleskin around the edges of the cast. This intervention helps prevent skin irritation and breakdown at the edges of the cast. Moleskin acts as a barrier between the cast and the skin, reducing friction and pressure. It promotes comfort and skin integrity.
Choice A is incorrect because applying plastic covering to the cast until dry can trap moisture, leading to skin maceration.
Choice C is incorrect as repositioning the cast with fingertips can compromise its integrity and fit.
Choice D is incorrect because maintaining the casted extremity below heart level can increase swelling and compromise circulation.