ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a child who has had a lumbar puncture. The nurse should monitor the child for which of the following complications?
Correct Answer: D
Rationale: The correct answer is D: Headache. After a lumbar puncture, the child may experience a post-dural puncture headache due to leakage of cerebrospinal fluid. This headache is typically aggravated by sitting or standing and relieved by lying down. Double vision (
A) is not a typical complication. Nuchal rigidity when standing (
B) is more indicative of meningitis. Pain in the posterior iliac crest (
C) is not a common complication of lumbar puncture.
Therefore, monitoring for headache (
D) is crucial.
Extract:
10-month-old infant having difficulty eating, fed goat milk
Question 2 of 5
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale:
Correct Answer: B - Offer commercially prepared formula.
Rationale: Commercially prepared formula is specifically formulated to meet the nutritional needs of infants. Goat milk lacks essential nutrients such as folate and vitamin B12, which are crucial for infant growth and development. Switching to soy milk (choice
A) is not recommended as it may also lack essential nutrients and can cause allergies. Warming goat milk (choice
C) does not address the nutritional deficiencies. Reinitiating breastfeeding (choice
D) may not be feasible if the mother is unable to do so. Commercially prepared formula is the best option to ensure the infant receives proper nutrition.
Extract:
Child acting aggressively toward staff
Question 3 of 5
A nurse is applying soft limb restraints to a child who is acting aggressively toward staff. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Secure the restraints with a quick-release knot. This is important for safety reasons as quick-release knots allow for rapid removal in case of an emergency or if the child needs immediate assistance. Using a quick-release knot ensures that the restraints can be easily and quickly undone without causing harm to the child. This is crucial in situations where quick intervention may be necessary.
Explanation for other choices:
B: Assess the child every 4 hr while in restraints - While assessment is important, every 4 hours may not be frequent enough for a child in restraints.
C: Request that the provider renew the prescription for restraints every 48 hr - While renewing prescriptions is necessary, this choice does not address the immediate safety concerns related to securing the restraints.
D: Tie the restraints to the side rails of the child's bed - Tying restraints to side rails can be dangerous as it restricts movement and can lead to injury or entrapment.
Extract:
5-year-old child up-to-date with current immunization schedule
Question 4 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:
School-age child with autism spectrum disorder
Question 5 of 5
A nurse is planning care for a school-age child who has autism spectrum disorder. Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Introduce the child to new situations slowly. For a child with autism spectrum disorder, new situations can be overwhelming and lead to anxiety. By introducing the child to new situations slowly, the nurse can help the child feel more comfortable and reduce stress. This approach allows the child to gradually adapt and build confidence. Staying with the child for long periods of time (
A) may lead to dependency and hinder the child's independence. Giving the child three options when making choices (
B) may be too overwhelming and cause confusion. Explaining procedures in detail to the child (
C) may be helpful, but it may not address the main issue of introducing the child to new situations slowly.