ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a school-age child who is having a tonic-clonic seizure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Time the episode. Timing the seizure is crucial for determining the duration, which helps in guiding treatment decisions and assessing potential complications. Administering chlorothiazide (
A) is not indicated during a seizure. Holding the child down (
B) can be harmful and may lead to injury. Placing the child in a prone position (
C) can obstruct breathing. Monitoring the duration of the seizure (
D) is essential for proper management.
Question 2 of 5
A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will ensure that my child consumes a high-calorie diet." This statement indicates an understanding of the teaching because children with cystic fibrosis often have difficulty maintaining weight due to malabsorption. A high-calorie diet helps to meet their increased energy needs.
Choice B is incorrect because sweat chloride testing is usually done more frequently than annually for monitoring cystic fibrosis.
Choice C is incorrect because pancrelipase medication should be taken with meals, not chewed before eating.
Choice D is incorrect because dornase alfa is not used for wheezing but for improving lung function in cystic fibrosis.
Question 3 of 5
A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take?
Correct Answer: A
Rationale: The correct answer is A: Obtain written consent from the client. This is appropriate because the adolescent has the right to make their own healthcare decisions regarding STI testing. Written consent ensures the client understands the procedure and gives informed permission. Verbal consent (choice
B) may not be sufficient for such a sensitive test. Contacting the client's parents (choice
C) may violate the adolescent's confidentiality and autonomy. Postponing the testing (choice
D) could lead to potential harm if the adolescent needs immediate medical attention.
Question 4 of 5
A nurse is caring for a 6-month-old infant who has gastroenteritis. Which of the following findings should the nurse identify as a manifestation of severe dehydration?
Correct Answer: B
Rationale: The correct answer is B: Sunken anterior fontanel. Severe dehydration in infants can lead to sunken fontanelles due to decreased fluid volume. Capillary refill time of 3 seconds (choice
A) is within normal limits. Weight loss of 5% (choice
C) is significant but not specific to severe dehydration. Producing tears when crying (choice
D) indicates some hydration.
Question 5 of 5
A nurse is performing a cranial nerve assessment on a school-age child. Which of the following findings indicates proper functioning of the child's trigeminal nerve?
Correct Answer: D
Rationale: The correct answer is D. Proper functioning of the trigeminal nerve involves the sensation of the face and motor function of the jaw. When the child has symmetrical jaw strength when biting down, it indicates that the trigeminal nerve is functioning correctly. A is incorrect as it assesses the vestibular system, B assesses the glossopharyngeal nerve, and C assesses the olfactory nerve.