ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
8-year-old child recently diagnosed with chronic renal failure
Question 1 of 5
A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Hemodialysis uses an artificial membrane outside the body to clean your child's blood. In hemodialysis, blood is circulated outside the body through a dialyzer with a semipermeable membrane that acts as an artificial kidney to remove waste products. This process mimics the filtration function of the kidneys. Option A is incorrect because hemodialysis does not use an electrolyte solution to clean the blood. Option C is incorrect as hemodialysis does not use the abdominal cavity as a membrane. Option D is incorrect as hemodialysis is not a continuous filtration process.
Extract:
2-year-old child
Question 2 of 5
A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Frequent negative responses.
Toddlers often exhibit frequent negative responses as they are exploring boundaries and asserting independence. This behavior is a common part of toddler development as they learn to express their emotions and preferences. Increased dependency (
A) is not typically seen in toddlers, as they are striving for autonomy. Less emotionally labile (
B) suggests stability in emotions, which is not characteristic of toddler behavior.
Toddlers thrive on routines, so they are not usually resistant to routines (
C).
Extract:
School-age child with autism spectrum disorder
Question 3 of 5
A nurse is planning care for a school-age child who has autism spectrum disorder. Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Introduce the child to new situations slowly. For a child with autism spectrum disorder, new situations can be overwhelming and lead to anxiety. By introducing the child to new situations slowly, the nurse can help the child feel more comfortable and reduce stress. This approach allows the child to gradually adapt and build confidence. Staying with the child for long periods of time (
A) may lead to dependency and hinder the child's independence. Giving the child three options when making choices (
B) may be too overwhelming and cause confusion. Explaining procedures in detail to the child (
C) may be helpful, but it may not address the main issue of introducing the child to new situations slowly.
Extract:
Preschool-age child with celiac disease
Question 4 of 5
A nurse is providing teaching to the parents of a preschool-age child who has celiac disease. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: "Your child will be on a gluten-free diet for the rest of her life." Celiac disease is a lifelong autoimmune condition where the body reacts to gluten. Removing gluten from the diet is the only treatment.
Choice A is incorrect because celiac disease requires a gluten-free diet, not low-protein.
Choice B is incorrect as high-fiber diets may worsen symptoms in some cases.
Choice C is incorrect because wheat flour contains gluten, which should be avoided.
Extract:
School-age child having a tonic-clonic seizure
Question 5 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: A
Rationale: The correct action is A: Time the episode. Timing the seizure helps monitor its duration, which is crucial for determining if medical intervention is needed. Administering chlorothiazide (
B) is not indicated for seizures. Placing the child in a prone position (
C) can lead to airway obstruction. Holding the child down (
D) can cause injury and is not recommended during a seizure.