ATI RN
ATI RN Pediatric Nursing 2023 I 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: A
Rationale: The correct answer is A. An 18-month-old toddler with a heart rate of 68/min is bradycardic for their age. Normal heart rate for toddlers is around 80-130/min. Bradycardia can indicate cardiac issues or other underlying conditions that need immediate attention. Reporting this finding to the provider is crucial for further evaluation and intervention.
Choice B is within the normal range for a school-age child's temperature.
Choice C shows a normal blood pressure for an adolescent.
Choice D is a normal respiratory rate for a 3-month-old infant.
Question 2 of 5
A nurse is providing teaching about injury prevention to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Check clothing for loose buttons. This is important because loose buttons can pose a choking hazard to toddlers. By checking and securing clothing items, parents can prevent accidental ingestion.
Choice B is incorrect as the recommended water heater temperature for safety is 49°C (120°F), not 54°C.
Choice C is relevant for preventing falls but not directly related to injury prevention from choking hazards.
Choice D is incorrect because balloons are a choking hazard for young children.
Question 3 of 5
A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Notify the provider if your child is swallowing frequently. This is important post-tonsillectomy as it may indicate bleeding, which needs immediate medical attention.
Choice A is incorrect as dark brown blood between teeth is not a typical sign of bleeding.
Choice B is incorrect as straws can increase the risk of bleeding.
Choice D is incorrect as clearing the throat can irritate the surgical site.
Question 4 of 5
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Your child can rest on your lap during the procedure. This is the correct statement because toddlers may feel more comfortable and secure being held by a parent during medical procedures, which can help reduce anxiety and improve cooperation. This approach promotes a sense of safety and reassurance for the child.
Choice B is incorrect because it may cause unnecessary worry for the parent and child, as alarms are not typically used during electrocardiograms.
Choice C is incorrect as leads are usually placed on the chest, not the back.
Choice D is incorrect because the duration of an electrocardiogram for a toddler is typically shorter than 30 minutes.
Question 5 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.