ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Correct Answer: A
Rationale: A. Nutritional management is crucial in cystic fibrosis due to malabsorption issues. A dietitian can provide guidance on appropriate dietary intake and may recommend enzyme replacement therapy. B. Occupational therapists may assist with activities of daily living, but their primary role may not be as critical initially as nutritional management. C. Speech-language pathologists primarily focus on speech and swallowing disorders, which may not be the primary concern at the time of admission. D. Physical therapists may assist with physical activity and mobility, but their primary role may not be as critical initially as nutritional management.
Question 2 of 5
A nurse is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: A. No head lag when pulled to a sitting position is a normal finding at 4 months of age and does not require notification of the provider. B. The Doll's eye reflex (also known as oculocephalic reflex) should be absent by 4 months of age. Its persistence could indicate neurological abnormalities and warrants further evaluation by the provider. C. Presence of tears when crying is a normal physiological response and does not require notification of the provider. D. Positive Babinski reflex is normal in infants under 2 years old and typically disappears by 12 to 24 months of age. It does not require immediate notification of the provider.
Question 3 of 5
A nurse is preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?
Correct Answer: C
Rationale: A. Asking the child's parent to leave the room may increase the child's anxiety and make the procedure more traumatic. B. Performing the procedure in the playroom may not necessarily ensure atraumatic care as the environment may still be unfamiliar and anxiety-provoking for the child. C. Applying a topical anesthetic cream helps numb the area, reducing the pain and discomfort associated with venipuncture, thus promoting atraumatic care. D. Explaining the procedure in detail to the child 3 hours prior to the procedure may not be effective in reducing the child's anxiety at the time of the procedure and may increase anticipation-related stress.
Question 4 of 5
A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: A. Increased capillary refill is not typically associated with hypoglycemia but may indicate poor peripheral circulation. B. Shakiness is a common manifestation of hypoglycemia due to the release of epinephrine in response to low blood sugar levels. C. Thirst is more commonly associated with hyperglycemia (high blood sugar levels) rather than hypoglycemia. D. Decreased appetite may occur in hypoglycemia, but it is not as specific a symptom as shakiness.
Question 5 of 5
A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?
Correct Answer: C
Rationale: A. Pediculosis capitis (head lice) does not require droplet precautions. B. Viral conjunctivitis is typically transmitted through contact precautions rather than droplet precautions. C. Seasonal influenza is transmitted via respiratory droplets, necessitating droplet precautions to prevent transmission. D. Hepatitis A is transmitted via the fecal-oral route and does not require droplet precautions.