ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Newly admitted child with cystic fibrosis
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: B
Rationale: The correct answer is B: Physical therapist. For a child with cystic fibrosis, physical therapy is essential to help maintain lung function through breathing exercises and airway clearance techniques. The physical therapist can also provide guidance on appropriate exercise and physical activity to improve overall respiratory health. Referring to a dietitian (choice
A) may be beneficial for nutritional support, but it is not the priority in this case. Speech-language pathologists (choice
C) mainly focus on communication and swallowing disorders, which are not directly related to cystic fibrosis. Occupational therapists (choice
D) help with daily living skills and may not be as crucial for this child's immediate needs.
Extract:
1-week-old newborn with hyperbilirubinemia treated with phototherapy
Question 2 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: A
Rationale: The correct answer is A: Monitor the newborn's temperature every 2 hr. This is important because phototherapy can cause the newborn to lose body heat, leading to hypothermia. Monitoring the temperature every 2 hours allows the nurse to promptly detect any changes and intervene as needed to maintain a stable body temperature. Placing mittens on the newborn's hands (choice
B) is unnecessary and may hinder the effectiveness of phototherapy. Applying lotion to the newborn's skin (choice
C) is not recommended as it can interfere with the effectiveness of the phototherapy. Checking the newborn's eyes every 8 hours (choice
D) is not directly related to the management of hyperbilirubinemia and phototherapy.
Extract:
Question 3 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:
4-year-old child
Question 4 of 5
A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Use a tumbling E chart for the assessment. This is because a tumbling E chart is commonly used for visual acuity testing in young children who may not be able to identify letters or symbols. The E chart consists of E shapes facing in different directions, and the child is asked to point in the direction the E is facing. This allows for a more accurate assessment of visual acuity in young children compared to traditional letter charts.
Other choices are incorrect:
B: Assess both eyes together first, then each eye separately - This approach may not provide an accurate assessment of each eye's visual acuity individually.
C: Position the child 4.6 meters (15 feet) from the chart - This distance is typically used for adult visual acuity testing, not for children.
D: Test the child without glasses before testing with glasses - It is important to test the child's visual acuity with their usual correction to ensure an accurate assessment.
Extract:
Client postoperative following placement of a halo vest to manage a cervical vertebral fracture
Question 5 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: D
Rationale: The correct answer is D: Assess the pin sites for infection once every other day. This is crucial in postoperative care of a client with a halo vest to prevent infection, which can lead to serious complications. By assessing the pin sites regularly, the nurse can detect any signs of infection early and initiate appropriate treatment promptly. Repositioning the client using a turning sheet (
A) may be necessary for comfort but is not the priority. Tightening the screws on the halo device (
B) without specific orders can cause harm. Encouraging flexion and extension of the neck (
C) is contraindicated as it can compromise the stability provided by the halo vest.