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: Requesting assistance from the anesthesiologist may not be necessary at this point and does not address the guardian's lack of understanding. Explaining the procedure to the adolescent and their guardian is the appropriate action to address the guardian's concerns and ensure they fully understand the procedure and its necessity. Witnessing the adolescent's signature on the informed consent form is appropriate after the procedure has been explained and the guardian's questions have been addressed. Notifying the provider may be necessary but does not ensure informed consent.
Question 2 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: Requesting assistance from the anesthesiologist may not be necessary at this point and does not address the guardian's lack of understanding. Explaining the procedure to the adolescent and their guardian is the appropriate action to address the guardian's concerns and ensure they fully understand the procedure and its necessity. Witnessing the adolescent's signature on the informed consent form is appropriate after the procedure has been explained and the guardian's questions have been addressed. Notifying the provider may be necessary but does not ensure informed consent.
Question 3 of 5
A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Checking the newborn's eyes every 8 hours is not necessary for the management of hyperbilirubinemia or phototherapy. Placing mittens on the newborn's hands is unrelated to the management of hyperbilirubinemia or phototherapy. Monitoring the newborn's temperature every 2 hours is essential during phototherapy because infants are at risk of hypothermia due to increased heat loss from the lights. Applying lotion to the newborn's skin is not recommended during phototherapy as it can interfere with the effectiveness of the lights.
Question 4 of 5
A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?
Correct Answer: C
Rationale: Pediculosis capitis (head lice) does not require droplet precautions. Viral conjunctivitis (pink eye) is typically spread through direct contact or contact with contaminated surfaces, not droplets. Seasonal influenza is a respiratory illness that can spread through droplets when the infected person coughs or sneezes, necessitating droplet precautions. Hepatitis A is primarily spread through the fecal-oral route and does not require droplet precautions.
Question 5 of 5
A nurse is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: No head lag when pulled to a sitting position is a normal finding at 4 months of age. They should not have doll's eye reflex intact, which means that their eyes move in the opposite direction of their head when turned. This reflex normally disappears by 3 months of age and its persistence may indicate brain damage. The presence of tears when crying is a normal finding at 4 months of age. They should also have positive Babinski reflex, which means that their toes fan out when their sole is stroked. This reflex normally disappears by 12 months of age.