ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Infant with necrotizing enterocolitis
Question 1 of 5
A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?
Correct Answer: A,D
Rationale: The correct answers are A and D. Necrotizing enterocolitis is characterized by symptoms like vomiting due to inflammation and damage in the intestines, and a rounded abdomen from gas accumulation. Tachypnea may occur due to pain or distress but is not a specific finding. Hypertension is not typically associated with necrotizing enterocolitis in infants.
Extract:
Newly admitted child with cystic fibrosis
Question 2 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:
11-month-old infant with acute diarrhea
Question 3 of 5
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: D
Rationale: The correct answer is D: Oral electrolyte solution. This is the best choice for an infant with acute diarrhea as it helps prevent dehydration by replacing lost fluids and electrolytes. Chicken soup (
A) may be too heavy for an infant's stomach. White grape juice (
B) and applesauce (
C) contain high sugar levels that can worsen diarrhea. Providing a clear, detailed explanation helps the guardian understand the importance of using oral electrolyte solution to manage the infant's condition effectively.
Extract:
School-age child receiving prednisolone
Question 4 of 5
A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Prolonged wound healing. Prednisolone is a corticosteroid medication that can suppress the immune system, leading to delayed wound healing. The nurse should monitor for this adverse effect by assessing the child's wounds regularly for signs of slow healing.
Choices B, C, and D are incorrect because hypotension, Stevens-Johnson syndrome, and renal failure are not commonly associated with prednisolone use in school-age children. It is important for the nurse to focus on monitoring for the most relevant adverse effect to ensure the child's safety and well-being.
Extract:
Question 5 of 5
A nurse is teaching the guardian of a toddler about discipline. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A: "I will use reasoning to explain to my child why their behavior was wrong."
Rationale:
1. Using reasoning helps the child understand the consequences of their actions, promoting learning.
2. It encourages open communication and trust between the child and the guardian.
3. It helps the child develop critical thinking skills and self-regulation.
Summary of Incorrect
Choices:
B. Ignoring temper tantrums doesn't address the behavior and may reinforce it.
C. Giving only one warning may not provide enough opportunity for learning and behavior correction.
D. Reminding of past misbehavior can lead to resentment and may not effectively address the current behavior.