ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is performing a cranial nerve assessment on a school-age child. Which of the following findings indicates proper functioning of the child's trigeminal nerve?
Correct Answer: D
Rationale: The correct answer is D. Proper functioning of the trigeminal nerve involves the sensation of the face and motor function of the jaw. When the child has symmetrical jaw strength when biting down, it indicates that the trigeminal nerve is functioning correctly. A is incorrect as it assesses the vestibular system, B assesses the glossopharyngeal nerve, and C assesses the olfactory nerve.
Question 2 of 5
A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. The child's parents ask for information on hemodialysis. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Hemodialysis uses an artificial membrane outside the body to clean your child's blood. This is correct because hemodialysis involves the use of a machine that filters the blood through an artificial membrane to remove waste products and excess fluids. This process occurs outside the body and is commonly used for patients with kidney failure.
Choice A is incorrect because hemodialysis does not use the abdominal cavity as a membrane.
Choice B is incorrect because hemodialysis does not involve the use of an electrolyte solution to clean the blood.
Choice D is incorrect because hemodialysis is not a continuous filtration process, but rather a periodic treatment.
Question 3 of 5
A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A. An 18-month-old toddler with a heart rate of 68/min is bradycardic for their age. Normal heart rate for toddlers is around 80-130/min. Bradycardia can indicate cardiac issues or other underlying conditions that need immediate attention. Reporting this finding to the provider is crucial for further evaluation and intervention.
Choice B is within the normal range for a school-age child's temperature.
Choice C shows a normal blood pressure for an adolescent.
Choice D is a normal respiratory rate for a 3-month-old infant.
Question 4 of 5
A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?
Correct Answer: B
Rationale: The correct answer is B: Clear the area of hard objects. During a seizure, it is important to ensure the safety of the individual by removing any nearby hard objects that could cause injury. Placing the child in a prone position (choice
C) is not recommended as it can lead to airway obstruction. Minimizing movement of the limbs (choice
A) is also not necessary as it may not be possible to control the child's movements during a seizure. Inserting a tongue blade between the teeth (choice
D) is dangerous and can cause harm.
Therefore, the best action to take during a seizure is to clear the area of hard objects to prevent injury.
Question 5 of 5
A nurse is caring for a child who has disseminated intravascular coagulation. Which of the following laboratory findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Decreased platelet count. In disseminated intravascular coagulation (DI
C), there is widespread activation of the coagulation system, leading to the consumption of platelets and clotting factors. This results in a decreased platelet count. Option A, decreased prothrombin time, is incorrect because in DIC, there is actually an increased prothrombin time due to the consumption of clotting factors. Option B, increased Hgb level, is incorrect as DIC does not typically affect hemoglobin levels. Option C, increased RBC count, is incorrect as DIC does not affect red blood cell production.