ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Infant who weighs 7.8 kg (17.2 lb) admitted yesterday for moderate dehydration
Question 1 of 5
A nurse is caring for an infant who weighs 7.8 kg (17.2 lb) and was admitted yesterday for treatment of moderate dehydration. Which of the following findings indicates to the nurse that the infant's condition is improving?
Correct Answer: D
Rationale: The correct answer is D: Fontanelle is level and soft. This finding indicates improved hydration status in infants. The fontanelle is a soft spot on the infant's skull that can indicate dehydration if sunken or bulging. A level and soft fontanelle suggest adequate hydration and improved condition.
A: Respiratory rate 70/min - This finding does not directly indicate improvement in dehydration status.
B: Capillary refill is greater than 3 seconds - Prolonged capillary refill time is a sign of poor perfusion and dehydration.
C: Dry mucous membranes - Dry mucous membranes are a sign of dehydration and do not indicate improvement.
Summary: The other choices are incorrect as they do not specifically reflect improvement in the infant's dehydration status.
Extract:
20-year-old adolescent with syphilis
Question 2 of 5
A nurse is providing teaching for a 20-year-old adolescent who has syphilis. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "I have to notify the public health department." This statement is important in the case of syphilis because it is a notifiable disease, meaning healthcare providers are required by law to report cases to the public health department for tracking and monitoring. By notifying the public health department, they can initiate contact tracing, treatment follow-up, and prevent further spread of the disease.
A: Reviewing side effects of metronidazole is not directly related to syphilis management.
B: Contacting the adolescent's parents may violate confidentiality and may not be necessary.
C: Asking the adolescent to come back for retesting is important but not as crucial as notifying the public health department.
Summary: The correct answer ensures appropriate public health measures are taken, while the other choices are either not directly related to the disease or not as critical in the management of syphilis.
Extract:
Question 3 of 5
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax. Which of the following oils should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Lavender. Lavender oil is known for its calming and relaxing properties, making it suitable for children to help with relaxation. It is gentle and safe to use, promoting a sense of calmness. Tea tree (
A) and eucalyptus (
B) oils are more commonly used for their antiseptic and respiratory benefits, not specifically for relaxation. Jasmine (
D) oil is known for its uplifting and floral scent, which may not be as soothing for relaxation compared to lavender.
Extract:
6-month-old infant
Question 4 of 5
A nurse in a pediatric intensive care unit is assessing a 6-month-old infant. Which of the following findings should the nurse identify as an indication of neurological impairment?
Correct Answer: C
Rationale: The correct answer is C. The nurse should identify a drowsy infant who responds immediately to verbal stimuli as an indication of neurological impairment. This finding suggests altered consciousness, which can be a sign of neurological dysfunction. The infant's drowsiness indicates decreased alertness, while the immediate response to verbal stimuli may point towards an abnormal neurological response. This combination of symptoms raises concern for potential neurological issues.
Choice A is incorrect because an oxygen saturation of 96% on room air is within the normal range for a 6-month-old infant.
Choice B is incorrect as self-reporting pain on a scale of 0 to 10 is not applicable to an infant.
Choice D is incorrect as the blood pressure of 100/60 mm Hg is within the normal range for a 6-month-old.
Extract:
10-month-old infant having difficulty eating, fed goat milk
Question 5 of 5
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale:
Correct Answer: B - Offer commercially prepared formula.
Rationale: Commercially prepared formula is specifically formulated to meet the nutritional needs of infants. Goat milk lacks essential nutrients such as folate and vitamin B12, which are crucial for infant growth and development. Switching to soy milk (choice
A) is not recommended as it may also lack essential nutrients and can cause allergies. Warming goat milk (choice
C) does not address the nutritional deficiencies. Reinitiating breastfeeding (choice
D) may not be feasible if the mother is unable to do so. Commercially prepared formula is the best option to ensure the infant receives proper nutrition.