ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Child with sickle cell anemia
Question 1 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Facial twitching. This finding is a priority to report because it could indicate a neurological complication such as a stroke or seizure, which can be life-threatening in a child with sickle cell anemia. Facial twitching may be a sign of inadequate oxygen delivery to the brain due to sickle cell crisis. Kyphosis (
B) is a spinal curvature issue, enuresis (
C) is bedwetting, and constipation (
D) are common in children with sickle cell anemia but not as urgent as potential neurological issues represented by facial twitching.
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:
Infant with a prescription for a Pavlik harness
Question 3 of 5
A nurse is planning care for an infant who has a prescription for a Pavlik harness. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Position the diaper over the straps with each change. This is important to prevent irritation and pressure sores on the infant's skin. Placing the diaper over the straps creates a barrier between the harness and the skin, reducing the risk of skin breakdown. Applying lotion (choice
A) may cause the straps to slip, compromising the effectiveness of the harness. Lengthening the harness straps weekly (choice
C) is not necessary and may alter the fit of the harness. Massaging the skin under the straps daily (choice
D) can cause discomfort and does not address the primary concern of preventing skin irritation.
Extract:
School-age child who weighs 55 lb
Question 4 of 5
A nurse is planning to administer diphenhydramine 1.25 mg/kg IV to a school-age child who weighs 55 lb. Available is diphenhydramine 50 mg/mL. How many mL should the nurse administer?
Correct Answer: B
Rationale:
To calculate the dose of diphenhydramine for the child, first convert the weight from pounds to kg: 55 lb ÷ 2.2 = 25 kg.
Then calculate the dose: 1.25 mg/kg x 25 kg = 31.25 mg. Next, determine how many mL are needed: 31.25 mg ÷ 50 mg/mL = 0.625 mL. Since we need to round to the nearest tenth, the correct answer is 0.6 mL (choice
B). Other choices are incorrect due to incorrect calculations or rounding errors.
Choice A is too low, C is too high, and D is also too high.
Extract:
Question 5 of 5
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Your child can rest on your lap during the procedure. This statement is correct because allowing the child to rest on the parent's lap can provide comfort and security during the procedure, reducing anxiety and promoting cooperation. Placing the child on the parent's lap can also help keep the child still, ensuring accurate results.
Choice A is incorrect because leads for an electrocardiogram are typically placed on the chest, not the back.
Choice B is incorrect because the duration of an electrocardiogram can vary but is usually shorter than 30 minutes for a toddler.
Choice D is incorrect because alarms are not typically used during the procedure unless there is a medical emergency.