ATI RN
ATI RN Pediatric Nursing 2023 II 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: C
Rationale: The correct answer is C: Rounded abdomen. Necrotizing enterocolitis (NE
C) is a serious condition in infants characterized by inflammation and necrosis of the intestines. A rounded abdomen is a common finding in NEC due to abdominal distention from gas and fluid accumulation. Vomiting (
A) is a nonspecific symptom in infants and can occur in various conditions. Hypertension (
B) is not typically associated with NEC. Tachypnea (
D) can occur in NEC due to respiratory distress, but it is not a specific finding.
Question 2 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: D
Rationale: The correct answer is D: Use a tumbling E chart for the assessment. This is because a tumbling E chart is commonly used for testing visual acuity in young children as they may not yet know their letters. The chart consists of the letter 'E' facing in different directions, and the child is asked to point in the direction the 'E' is facing. This method helps assess visual acuity without the child needing to know letters.
A: Assessing both eyes together first, then separately may not be as effective in determining each eye's individual visual acuity.
B: Positioning the child 4.6 meters from the chart is the standard distance for adults, not for testing children's visual acuity.
C: Testing the child without glasses before testing with glasses may not provide an accurate assessment of the child's visual acuity with correction.
Question 3 of 5
A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: The correct position for a child undergoing a lumbar puncture is lateral recumbent. This position allows for optimal access to the lumbar region while minimizing the risk of complications. Placing the child in a lateral position helps to open up the spaces between the vertebrae, making it easier for the healthcare provider to insert the needle accurately into the spinal canal. Prone position (option
A) is not suitable as it may not provide adequate access to the lumbar region. Supine position (option
C) is also incorrect as it does not facilitate proper alignment for the procedure. Semi-Fowler's position (option
D) is not ideal as it does not offer the necessary positioning for a lumbar puncture.
Question 4 of 5
A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: "You can replace milk with nondairy sources of calcium." This is the best instruction because it addresses the issue of lactose intolerance by suggesting alternative sources of calcium. Nondairy sources like leafy green vegetables, tofu, and fortified foods can provide adequate calcium without causing digestive issues.
Choice B is incorrect because lactose intolerance is a reaction to the lactose sugar in milk, not the type of milk. Plain or chocolate milk both contain lactose.
Choice C is incorrect as flavored yogurt often contains added sugars which may exacerbate digestive issues for someone with lactose intolerance.
Choice D is incorrect because consuming milk on an empty stomach won't change the fact that it contains lactose, which can still cause discomfort for someone with lactose intolerance.
Overall, choice A is the best option as it provides a practical and effective solution for meeting calcium needs while managing lactose intolerance.
Question 5 of 5
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer the next dose as prescribed. Vomiting after digoxin administration does not necessarily indicate toxicity. It is crucial to adhere to the prescribed dosing schedule to maintain therapeutic levels. Skipping a dose can lead to suboptimal treatment. Mixing with formula (
A) can affect absorption, giving an antiemetic (
B) is unnecessary if vomiting is a one-time occurrence, and increasing fluids (
C) may worsen heart failure.