ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, 'I don't understand why they need to do this procedure.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: The nurse should explain the procedure to both the adolescent and their guardian to ensure they understand the purpose, risks, and benefits. This fosters informed decision-making. It is essential for the guardian to comprehend why the procedure is necessary to provide valid consent. Requesting assistance from the anesthesiologist (
A) may not address the guardian's concerns directly. Witnessing the adolescent's signature (
C) is important but does not address the guardian's lack of understanding. Notifying the provider (
D) is not the immediate action needed to address the guardian's concern.
Question 2 of 5
A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?
Correct Answer: D
Rationale: The correct answer is D: Continuous swallowing. Following tonsillectomy and adenoidectomy, continuous swallowing can indicate hemorrhage as the child may be swallowing blood. This can lead to increased risk of airway obstruction and further bleeding. Heart rate, flushing of the face, and blood pressure may not be reliable indicators of hemorrhage in this case. A decrease in heart rate can be due to the child's age or medications, flushing can be a response to pain or anxiety, and the blood pressure may not necessarily indicate hemorrhage. Continuous swallowing is the most concerning finding post-operatively and should be addressed promptly.
Question 3 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Your child should walk the bicycle through intersections. This instruction is crucial for bicycle safety as it reduces the risk of accidents at intersections where visibility may be limited. Walking the bicycle allows the child to be more aware of their surroundings and potential hazards.
Choice A is incorrect because a child should always ride the bicycle with traffic flow, not against it, to avoid collisions with oncoming vehicles.
Choice B is incorrect as keeping the bicycle at least 3 feet from the curb may actually increase the risk of collisions with vehicles or obstacles on the road. Riding closer to the curb is safer.
Choice D is incorrect as the child's feet should be able to touch the ground while seated on the bicycle for stability and control, not 3 to 6 inches off the ground.
Overall, the correct answer emphasizes safety and awareness at intersections, making it the most appropriate choice for teaching bicycle safety to a child.
Question 4 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 5 of 5
A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Frequent negative responses.
Toddlers often display frequent negative responses as they are exploring their independence and testing boundaries. It is a normal part of their development.
Choice A is incorrect as toddlers typically thrive on routines for predictability.
Choice C is incorrect as toddlers are known for their emotional lability, having quick and intense mood changes.
Choice D is incorrect as toddlers are in a stage where they are developing autonomy and independence, not increased dependency.