ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Question 1 of 5
A nurse is performing a physical assessment for a preschooler. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Check visual acuity by using the tumbling E eyechart. This is the appropriate action for a preschooler as they may not yet be able to read standard eye charts. By using the tumbling E chart, which consists of capital E letters facing in different directions, the nurse can assess the child's visual acuity effectively. Auscultating the abdomen for an extended period (choice
A) is unnecessary and not relevant to a preschooler's physical assessment. Using the bell stethoscope for breath sounds (choice
B) is not appropriate for assessing a preschooler. Placing a hand on the abdomen to determine respiratory rate (choice
D) is also not a recommended method for assessing a preschooler.
Extract:
6-month-old infant with gastroenteritis
Question 2 of 5
A nurse is caring for a 6-month-old infant who has gastroenteritis. Which of the following findings should the nurse identify as a manifestation of severe dehydration?
Correct Answer: B
Rationale: The correct answer is B: Sunken anterior fontanel. Severe dehydration in infants can lead to a sunken anterior fontanel due to decreased fluid volume in the body. The fontanel is a soft spot on the baby's head where the skull bones haven't yet fused, and its sunken appearance indicates significant fluid loss. Other options (
A) Weight loss of 5%, (
C) Produces tears when crying, and (
D) Capillary refill time 3 seconds are important assessments in dehydration but are not specific to severe dehydration. Weight loss can occur in mild to moderate dehydration, tear production is not a reliable indicator of dehydration severity, and a capillary refill time of 3 seconds is within the normal range.
Therefore, the sunken anterior fontanel is the most indicative of severe dehydration in this scenario.
Extract:
Question 3 of 5
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Your child can rest on your lap during the procedure. This statement is correct because allowing the child to rest on the parent's lap can provide comfort and security during the procedure, reducing anxiety and promoting cooperation. Placing the child on the parent's lap can also help keep the child still, ensuring accurate results.
Choice A is incorrect because leads for an electrocardiogram are typically placed on the chest, not the back.
Choice B is incorrect because the duration of an electrocardiogram can vary but is usually shorter than 30 minutes for a toddler.
Choice D is incorrect because alarms are not typically used during the procedure unless there is a medical emergency.
Extract:
Nurses' Notes 0915: Received the child awake, alert, and crying. Parent states that child was playing with remote control toy and when the parent heard the child crying, they noticed that a battery was missing from the toy. The parent states that the child was drooling more than usual and witnessed them gagging periodically. 0930: Child is lying on parent's chest with eyes open and requesting 'sippy cup.' Continues to have expiratory wheezing in bilateral upper lobes. Preparing child for diagnostic testing.
Question 4 of 5
The nurse should first ___
Correct Answer: B
Rationale: The correct answer is B: Keep the child NPO. This is the priority because it ensures the child's safety before any other interventions. Keeping the child NPO helps prevent aspiration during any potential procedures or treatments. Obtaining informed consent (
A) is important but not the first step in this situation. Teaching the child's parents (
C) can wait until the child's immediate needs are addressed.
Extract:
3-year-old child
Question 5 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "You will only feel a little stick." This statement is appropriate for a 3-year-old child as it is reassuring, concise, and prepares the child for the sensation of the injection without causing unnecessary fear. It uses simple language that a young child can understand and minimizes anxiety.
Choice B is incorrect because it incentivizes the child not to cry, which may create unnecessary pressure and stress for the child.
Choice C is incorrect because it oversimplifies the purpose of the medication and may lead to misconceptions about its effects.
Choice D is incorrect as it gives the child too much control over the situation, which may not be appropriate for a medical procedure.
In summary, choice A is the most appropriate as it is clear, reassuring, and provides necessary information without causing distress.