ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 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:
A nurse is caring for a 10-year-old child who is receiving chemotherapy. The child's guardian asks about managing adverse effects.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct statement is D: "Use a soft-bristled toothbrush when platelet levels are low." This is important because during low platelet levels, there is an increased risk of bleeding. Using a soft-bristled toothbrush helps prevent gum bleeding and oral trauma.
Explanation of why other choices are incorrect:
A: "Rinse your child's mouth with chlorhexidine mouthwash if they develop stomatitis." - Chlorhexidine mouthwash may cause irritation and is not typically used for stomatitis in children.
B: "Ensure you administer an antiemetic for 12 hours after chemotherapy." - Antiemetics are usually given before or during chemotherapy to prevent nausea and vomiting, not necessarily after.
C: "Encourage eating by providing your child with their favorite foods." - Encouraging favorite foods may not always be suitable during certain treatments, especially if they are high in sugar or difficult to digest.
Extract:
A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to monitor the newborn's temperature every 2 hours. This is crucial in assessing the newborn's thermoregulation, a critical aspect of neonatal care. Monitoring temperature every 2 hours allows for early detection of any signs of hypothermia or hyperthermia, enabling prompt interventions to maintain the newborn's thermal stability. Checking the newborn's eyes every 8 hours (
A) is not a priority in immediate newborn care. Placing mittens on the newborn's hands (
B) is not necessary unless the newborn is scratching themselves. Applying lotion to the newborn's skin (
D) may not be recommended immediately after birth due to the risk of skin irritation.
Extract:
A nurse is assessing a 4-month-old infant during a well-baby visit.
Question 4 of 5
For which of the following findings should the nurse notify the provider?
Correct Answer: A
Rationale: The correct answer is A: Doll's eye reflex intact. This finding is abnormal in adults and may indicate brainstem dysfunction. The nurse should notify the provider immediately for further evaluation and intervention.
Choice B is incorrect because no head lag when pulled to a sitting position is a normal finding in infants.
Choice C is incorrect because the presence of tears when crying is a normal physiological response.
Choice D is incorrect because a positive Babinski reflex is normal in infants but abnormal in adults.
Extract:
Question 5 of 5
A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Prolonged wound healing. Prednisolone is a corticosteroid that can suppress the immune system, leading to delayed wound healing. The nurse should monitor for this adverse effect by observing the child's wound healing progress.
Choice B, hypotension, is not a common adverse effect of prednisolone.
Choice C, Stevens-Johnson syndrome, is a severe skin reaction typically caused by medications like sulfonamides, not corticosteroids.
Choice D, renal failure, is also not a common adverse effect of prednisolone. Monitoring for prolonged wound healing is crucial to prevent complications and ensure the child's well-being.