ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax. Which of the following oils should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Lavender. Lavender oil is well-known for its calming and relaxing properties, making it ideal for helping children relax. It has been shown to reduce anxiety and improve sleep quality. Lavender oil is gentle and safe for children when used properly. Eucalyptus (
B) and Tea tree (
D) oils are not recommended for children due to potential toxicity. Jasmine (
C) is not typically used for relaxation purposes in children.
Extract:
School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamin A, D, E, and K. Barrel-shaped chest, Clubbing of the fingers bilaterally, Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough. Vital Signs: Temperature 38.4° C (101.1° F), Heart rate 100/min, Respiratory rate 40/min, Blood pressure 100/57 mm Hg. Laboratory Results: Sputum culture positive for Pseudomonas aeruginosa, Stool analysis positive for presence of fat and enzymes, Chest x-ray indicates obstructive emphysema, WBC count 20,000/mm3 (5,000 to 10,000/mm3).
Question 2 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
Correct Answer: A,C,E
Rationale:
Correct Answer: A, C, E
Rationale:
A: Water-soluble vitamins are commonly prescribed or included in a child's home medication list for nutritional support.
C: Dornase alfa is a medication used to help clear mucus in patients with cystic fibrosis, so it would be expected in the child's medication list if they have this condition.
E: Pancreatic lipase is prescribed for children with pancreatic insufficiency to aid in digestion.
Summary of Incorrect
Choices:
B: Acetaminophen is a common over-the-counter pain reliever and fever reducer but may not always be part of a child's regular medication list.
D: Meperidine is a narcotic pain reliever that is not typically prescribed for children due to its potential side effects and risks.
Overall, choices B and D are less likely to be part of a child's routine medication list compared to choices A, C, and E, which are more common in pediatric cases.
Extract:
Question 3 of 5
A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Check the pH of the gastric secretions. This should be done first to ensure proper tube placement in the stomach. If the pH is acidic (pH < 4), it indicates the tube is in the stomach. If the pH is alkaline (pH > 6), it indicates the tube might be in the respiratory tract or intestine. This step is crucial to prevent complications such as aspiration. Setting the administration rate on the feeding pump (
B) should come after confirming tube placement. Flushing the tube with water (
C) should be done after confirming tube placement. Attaching the feeding bag tubing to the end of the NG tube (
D) should only be done after confirming proper tube placement to avoid complications.
Question 4 of 5
A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Tachypnea. In heart failure, the heart cannot pump effectively, causing fluid to build up in the lungs, leading to respiratory distress and tachypnea (rapid breathing). Tremors and increased appetite are not typically associated with heart failure. Bradycardia (slow heart rate) is not a common clinical manifestation of heart failure; instead, it can be a sign of worsening condition.
Question 5 of 5
A nurse is teaching a newly licensed nurse about infant safety. Which of the following information should the nurse include in the teaching?
Order the Items
Source Container
Correct Answer: C
Rationale: Correct Order: C
Rationale: Providing an infant with a one-piece pacifier for non-nutritive sucking is essential for infant safety as it reduces the risk of choking or aspiration. This type of pacifier is designed to prevent any potential hazards associated with pacifier use. It is important to educate new nurses about safe practices when it comes to infant care.
Summary of Incorrect
Choices:
A: Placing a 5-month-old infant in a high chair to feed is not safe as infants of this age may not have the necessary head control or stability to sit upright in a high chair. This could lead to a risk of falls or injuries.
B: Positioning a 1-month-old infant supine on a soft mattress increases the risk of sudden infant death syndrome (SIDS). Infants should be placed on their back on a firm mattress to reduce the risk of SIDS.
D: Securing the infant's car seat behind an airbag is dangerous as airbags can cause serious