ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
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: B
Rationale: The correct answer is B: Rounded abdomen. Necrotizing enterocolitis (NE
C) is characterized by abdominal distention due to gas and fluid accumulation in the bowel wall. This results in a rounded abdomen appearance. Hypertension (
A) is not typically associated with NEC. Vomiting (
C) is a common symptom in infants but not specific to NEC. Tachypnea (
D) may occur due to sepsis or respiratory distress, but it is not a hallmark finding of NEC.
Question 2 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 that can suppress the immune system, leading to delayed wound healing. The nurse should monitor for this adverse effect by observing the child's wound healing progress.
Choice B, hypotension, is not a common adverse effect of prednisolone.
Choice C, Stevens-Johnson syndrome, is a severe skin reaction typically caused by medications like sulfonamides, not corticosteroids.
Choice D, renal failure, is also not a common adverse effect of prednisolone. Monitoring for prolonged wound healing is crucial to prevent complications and ensure the child's well-being.
Extract:
A nurse is assessing a 4-month-old infant during a well-baby visit.
Question 3 of 5
For which of the following findings should the nurse notify the provider?
Correct Answer: A
Rationale: The correct answer is A: Doll's eye reflex intact. This finding is abnormal in adults and may indicate brainstem dysfunction. The nurse should notify the provider immediately for further evaluation and intervention.
Choice B is incorrect because no head lag when pulled to a sitting position is a normal finding in infants.
Choice C is incorrect because the presence of tears when crying is a normal physiological response.
Choice D is incorrect because a positive Babinski reflex is normal in infants but abnormal in adults.
Extract:
A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B.
Question 4 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: C,D,E
Rationale: The correct actions for the nurse to take are C, D, and E. Beginning droplet precautions is essential to prevent the spread of respiratory infections. Monitoring oxygen saturation is crucial to assess respiratory function. Initiating IV access ensures access for emergency medication administration. Obtaining a throat culture (
A) is not necessary without signs of infection. Inspecting the epiglottis (
B) is not within the nurse's scope of practice.
Extract:
A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to monitor the newborn's temperature every 2 hours. This is crucial in assessing the newborn's thermoregulation, a critical aspect of neonatal care. Monitoring temperature every 2 hours allows for early detection of any signs of hypothermia or hyperthermia, enabling prompt interventions to maintain the newborn's thermal stability. Checking the newborn's eyes every 8 hours (
A) is not a priority in immediate newborn care. Placing mittens on the newborn's hands (
B) is not necessary unless the newborn is scratching themselves. Applying lotion to the newborn's skin (
D) may not be recommended immediately after birth due to the risk of skin irritation.