ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D. An 18-month-old toddler with a heart rate of 68/min should be reported to the provider as it is outside the normal range for that age group (normal is 80-130/min). This finding could indicate bradycardia, which may be a sign of a potential cardiac issue or other underlying health concern.
Choices A, B, and C are within normal ranges for their respective age groups and would not typically require immediate reporting to the provider. Reporting D helps ensure prompt evaluation and appropriate intervention if needed.
Extract:
Toddler after orchiopexy procedure
Question 2 of 5
A nurse is providing education to the parents of a toddler who is being discharged after an orchiopexy procedure. Which of the following statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it shows understanding of the post-operative care instructions following an orchiopexy procedure. Restricting straddling activities for 2 weeks helps prevent stress on the surgical area, promoting healing.
Choice B is incorrect as resuming all physical activities too soon can lead to complications.
Choice C is incorrect as the procedure does not eliminate the risk of fertility issues.
Choice D is incorrect because pain medications may be needed post-operatively.
Extract:
Infant after surgical repair of a cleft palate
Question 3 of 5
A nurse is providing discharge teaching to the guardians of an infant who is being discharged after surgical repair of a cleft palate. Which of the following educational topics should the nurse include in the discharge teaching?
Correct Answer: B
Rationale: The correct answer is B: Apply antibiotic ointment to the suture line for 3 days postoperatively. This is important to prevent infection and promote wound healing. Elbow restraints are not necessary post-cleft palate surgery. Using straws can introduce air into the surgical site, leading to complications. Disturbing crusts on the suture line can disrupt wound healing.
Extract:
Preschooler with new diagnosis of celiac disease
Question 4 of 5
A nurse is caring for a preschooler who has a new diagnosis of celiac disease. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Pale, oily stools. In celiac disease, the body cannot tolerate gluten, leading to damage in the intestines. This impairs fat absorption, causing pale, oily stools due to excess fat content. Hematemesis (choice
A) is vomiting blood, not typically associated with celiac disease. Increased hemoglobin level (choice
B) is not a common finding in celiac disease as it is more related to iron-deficiency anemia seen in later stages. Redcurrant, jelly-like stools (choice
C) are indicative of intussusception, not celiac disease.
Therefore, the correct answer is D due to the malabsorption of fats in celiac disease.
Extract:
Question 5 of 5
A nurse is performing a physical assessment for a preschooler. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Check visual acuity by using the tumbling E eyechart. This is the appropriate action for a preschooler as they may not yet be able to read standard eye charts. By using the tumbling E chart, which consists of capital E letters facing in different directions, the nurse can assess the child's visual acuity effectively. Auscultating the abdomen for an extended period (choice
A) is unnecessary and not relevant to a preschooler's physical assessment. Using the bell stethoscope for breath sounds (choice
B) is not appropriate for assessing a preschooler. Placing a hand on the abdomen to determine respiratory rate (choice
D) is also not a recommended method for assessing a preschooler.