ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B - Reposition the client using a turning sheet.
Rationale: Repositioning using a turning sheet helps prevent complications such as pressure ulcers and nerve damage. The halo vest immobilizes the cervical spine, making it crucial to use proper techniques to move the client safely.
Incorrect
Choices:
A: Encouraging flexion and extension of the neck is contraindicated as it can disrupt spinal alignment and lead to further injury.
C: Assessing the pin sites for infection every other day is important, but not the immediate action needed for client safety and comfort.
D: Tightening the screws on the halo device without proper instruction can lead to complications, and it is not the nurse's role to adjust the device without specific orders from the healthcare provider.
Question 2 of 5
A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Rounded abdomen. In necrotizing enterocolitis, the infant may present with abdominal distension due to gas accumulation in the intestine. This distension can lead to a rounded appearance of the abdomen. Vomiting (
A) is less common in necrotizing enterocolitis. Hypertension (
B) is not a typical finding in this condition; in fact, hypotension is more common due to sepsis. Tachypnea (
D) may occur due to respiratory distress associated with the condition, but it is not a defining characteristic.
Question 3 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Discard the first voided specimen. For a 24-hr urine collection, it is important to start the collection with an empty bladder to ensure accuracy. By discarding the first voided specimen, the nurse can begin the collection period accurately. Voiding every hour (
B) is not necessary for a 24-hr collection and could lead to inaccuracies. Cleansing the perineum with povidone-iodine solution (
C) is not required and may introduce contaminants. Saving the final specimen in a separate container (
D) is unnecessary and can complicate the collection process.
Question 4 of 5
A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Monitor the newborn's temperature every 2 hr. Hyperbilirubinemia can lead to increased risk of hypothermia during phototherapy. Monitoring temperature every 2 hours is crucial to detect any signs of hypothermia early and prevent complications. Checking the newborn's eyes every 8 hours (
A) is not directly related to managing hyperbilirubinemia or phototherapy. Placing mittens on the newborn's hands (
B) is not necessary for this situation. Applying lotion to the newborn's skin (
D) is not indicated and can interfere with phototherapy.
Question 5 of 5
A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A. "I will ensure that my child is tested for tuberculosis every year."
Rationale: This statement shows understanding as children with HIV are at increased risk for tuberculosis. Regular testing is essential for early detection and treatment, preventing complications.
Summary of other choices:
B. Incorrect. Risk of transmission doesn't decrease after 2 weeks; consistent adherence to medication is crucial.
C. Incorrect. Doubling medications without healthcare provider's guidance can be harmful.
D. Incorrect. Immunizations are vital for children with HIV and should not be repeated in remission.