ATI RN
ATI Pediatrics Exam NURS 243 Spring 2014 Questions
Extract:
A fussy 2-month-old infant postoperative following surgical repair of a cleft lip.
Question 1 of 5
A nurse is caring for a fussy 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Correct answer: C. Encourage the parents to hold and comfort the infant.
Rationale: The correct action is to encourage parental bonding and comfort as it promotes emotional support, reduces stress, and aids in infant soothing. Parental presence enhances the infant's sense of security and helps in pain management through the release of comforting hormones.
Incorrect choices:
A: Positioning the infant on its abdomen is not recommended postoperatively as it can cause discomfort and hinder healing.
B: Offering a pacifier may not address the infant's need for comfort and may not be appropriate immediately postoperatively.
D: Administering Ibuprofen for pain should be done following the healthcare provider's orders and is not the initial action for comforting a fussy infant postoperatively.
Extract:
A patient with a stained, ragged baby blanket.
Question 2 of 5
A patient arrives at the hospital with a stained, ragged baby blanket. When his mother tries to remove the blanket to take it home for washing, he hides under the bed and clings to the blanket. What is the best course of action for the nurse?
Correct Answer: B
Rationale: The correct answer is B: Acknowledge that it seems to be his favorite blanket and allow him to keep it with him. This choice respects the patient's attachment to the blanket, which provides comfort and security. Removing it abruptly could cause distress.
Choice A might not address the root of his attachment and could lead to resistance.
Choice C might not reassure the patient that his blanket will return.
Choice D may not address the emotional connection he has with the blanket.
Extract:
A 2-month-old child with burns on his face due to abuse.
Question 3 of 5
The nurse is caring for a 2-month-old child who suffered burns on his face due to abuse. What is the nurse's immediate priority concern when caring for this patient?
Correct Answer: A
Rationale: The correct answer is A: Managing the airway. In a burn victim, especially a young child, airway management is the top priority due to the risk of airway compromise from edema and swelling. The nurse must ensure a patent airway to maintain oxygenation and ventilation. Monitoring renal function (
B) and restoring fluid volume (
C) are important in burn patients but come after securing the airway. Assessing for shock (
D) is also crucial but managing the airway takes precedence in this situation.
Extract:
An infant admitted with dehydration.
Question 4 of 5
The nurse is reviewing the intake and output record from the previous 8-hour shift for an infant admitted with dehydration. The nurse also reviews the most recent lab results in the chart. Based on the information in the chart provided, the nurse determines which of the following to be correct regarding this patient during the 8-hour shift?
Correct Answer: D
Rationale: The correct answer is D: The infant's lab results indicated dehydration. The nurse is reviewing the intake and output record and lab results for an infant admitted with dehydration. Lab results are crucial in diagnosing dehydration, such as elevated blood urea nitrogen (BUN) and creatinine levels, and abnormal electrolyte levels. The intake and output record alone may not provide a definitive indication of dehydration.
Choices A and B cannot be determined solely by reviewing the intake and output record.
Choice C is incorrect as lab results indicating dehydration would not be within normal limits.
Extract:
A 4-year-old hospitalized child.
Question 5 of 5
The nurse recognizes that a 4-year-old hospitalized child is exhibiting which characteristic of cognitive development, when the child tells the nurse it's sad to be at home alone?
Correct Answer: B
Rationale: The correct answer is B: Magical thinking. At the age of 4, children often engage in magical thinking, believing that their thoughts can influence reality. In this scenario, the child's belief that being alone at home caused sadness reflects magical thinking. Egocentrism (choice
A) refers to difficulty seeing things from others' perspectives, which is not evident in this situation. Centration (choice
C) is the tendency to focus on only one aspect of a situation, not applicable here. Reversibility (choice
D) involves understanding that actions can be reversed, which is not demonstrated in the child's statement.