ATI RN
ATI Pediatrics Proctored Questions
Extract:
An adolescent with an arm cast
Question 1 of 5
A nurse is educating an adolescent following the application of an arm cast. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will elevate my broken arm on pillows at night." Elevating the arm helps reduce swelling and promotes proper blood circulation, aiding in the healing process. This statement shows understanding of the importance of elevation.
Choice A is incorrect because limiting finger use is not necessary with an arm cast.
Choice B is incorrect as persistent swelling could indicate a problem and should be reported.
Choice D is incorrect as introducing foreign substances into the cast can cause skin irritation.
Extract:
A child post-tonsillectomy
Question 2 of 5
A nurse is caring for a child in the PACU following a tonsillectomy. Which of the following finding requires immediate intervention by the nurse should the nurse?
Correct Answer: B
Rationale: The correct answer is B: Frequent swallowing. This finding indicates potential post-tonsillectomy bleeding, a serious complication requiring immediate intervention. Swallowing may indicate blood pooling in the throat, leading to airway compromise. Dark brown blood in emesis (choice
A) is expected post-operatively. An axillary temperature of 38 C (100 F) (choice
C) can be due to surgical stress. Child reporting pain level of 5 (choice
D) is manageable.
Extract:
An infant with severe dehydration due to gastroenteritis
Question 3 of 5
A nurse is assessing an infant who has severe dehydration due to gastroenteritis which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Increased respiratory rate. Severe dehydration leads to decreased blood volume, causing the heart to pump faster to maintain adequate circulation, resulting in increased respiratory rate to compensate for the metabolic acidosis from dehydration.
B: Capillary refill of 2 seconds would indicate adequate perfusion, not severe dehydration.
C: Hypertension is not a typical finding in severe dehydration; hypotension is more likely.
D: Increased urine output is not expected in severe dehydration as the body conserves water.
Extract:
A child with hearing loss
Question 4 of 5
A nurse is communicating with a child who has hearing loss. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Use light touch when initiating conversation. This is the most appropriate action because the child with hearing loss may rely more on tactile cues to understand communication. Light touch can help to get the child's attention and signal the start of a conversation. Maintaining a neutral facial expression (choice
A) is not as crucial for communication with a child who has hearing loss. Changing positions frequently (choice
C) may be distracting and not helpful for maintaining attention. Exaggerating pronunciation of words (choice
D) may distort speech and make it harder to lip-read for the child.
Extract:
A child for a lumbar puncture
Question 5 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: A
Rationale: The correct position for a lumbar puncture in a child is the lateral position. This position allows for better visualization of the spine and easier access to the lumbar area. Placing the child in the lateral position helps to open up the intervertebral spaces and ensure proper alignment for the procedure. Prone position would not provide adequate access to the lumbar area. Semi-fowler and supine positions are not ideal for lumbar puncture as they do not allow for proper alignment of the spine.