ATI RN
ATI RN Pediatrics 2023 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 because symmetrical jaw strength when biting down indicates proper functioning of the trigeminal nerve. This nerve controls sensation in the face and motor functions such as biting and chewing. A, B, and C are incorrect as they do not specifically assess the trigeminal nerve. A tests the glossopharyngeal nerve, B tests the vestibular nerve, and C tests the olfactory nerve. By assessing jaw strength, the nurse can determine if the child's trigeminal nerve is functioning correctly.
Extract:
Child with impetigo contagiosa developed in the hospital
Question 2 of 5
A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Initiate contact isolation precautions. Impetigo contagiosa is highly contagious. By initiating contact isolation precautions, the nurse can prevent the spread of the infection to other patients, staff, and visitors. This includes wearing gloves and gowns when providing care, using dedicated equipment, and ensuring proper hand hygiene. Administering amphotericin B IV (choice
A) is not indicated for impetigo contagiosa as it is a fungal infection treatment. Reporting the disease to the state health department (choice
C) may be required for public health surveillance but does not directly address immediate infection control. Applying lidocaine ointment topically (choice
D) is not appropriate for impetigo treatment.
Extract:
11-month-old infant with acute diarrhea
Question 3 of 5
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: D
Rationale: The correct answer is D: Oral electrolyte solution. This is the best choice for an infant with acute diarrhea as it helps prevent dehydration by replacing lost fluids and electrolytes. Chicken soup (
A) may be too heavy for an infant's stomach. White grape juice (
B) and applesauce (
C) contain high sugar levels that can worsen diarrhea. Providing a clear, detailed explanation helps the guardian understand the importance of using oral electrolyte solution to manage the infant's condition effectively.
Extract:
Preschool-age child with heart failure
Question 4 of 5
A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Provide for periods of rest. This is essential in managing heart failure as rest helps reduce the workload on the heart. By allowing the child to rest, the heart can recover and function more efficiently. It also helps prevent fatigue and conserves energy.
Incorrect
Choices:
B: Increasing oxygen flow rate until cyanosis resolves is not a recommended practice as it can lead to oxygen toxicity and does not address the underlying cause of heart failure.
C: Withholding digoxin if the child's pulse is greater than 100/min is incorrect as digoxin is commonly used in managing heart failure to improve heart function.
D: Weighing the child once a month is not sufficient for monitoring fluid retention, which is crucial in heart failure management. Frequent weight monitoring is necessary to detect changes early.
Extract:
Adolescent client
Question 5 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Discard the first voided specimen. This is important because the first void may contain residual urine from the previous day, so discarding it ensures an accurate 24-hour collection. Saving the final specimen separately (
A) is unnecessary and may lead to inaccurate results. Cleansing the perineum with povidone-iodine (
B) is not required for a urine collection. Voiding every hour (
D) would disrupt the 24-hour collection process.