ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Weigh the child once per day. In nephrotic syndrome, monitoring weight is crucial to assess fluid retention. Daily weight can indicate fluid status changes, allowing for timely interventions. Positioning the child supine (
B) does not address the fluid balance issue. Limiting calorie intake (
C) may be necessary for some cases but is not a priority in the acute stage. Increasing fluid intake (
D) can worsen fluid retention.
Question 2 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: The correct answer is B: Doll's eye reflex intact. This reflex is abnormal in infants over 3 months old and suggests a neurological issue. A: No head lag is normal at 4 months. C: Tears when crying is a normal response. D: Positive Babinski reflex is normal in infants under 2 years old. The Doll's eye reflex should disappear by 3 months, so its presence at 4 months is concerning.
Question 3 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicate the treatment is effective?
Correct Answer: C
Rationale: The correct answer is C: "My child went to the bathroom two times when the alarm went off last night." This indicates the treatment is effective because the conditioning therapy involves using a bedwetting alarm to wake the child when they start to urinate, teaching them to wake up to use the bathroom. Going to the bathroom when the alarm goes off shows the child is responding to the alarm by waking up and using the bathroom, which is the desired outcome of the therapy.
Other choices are incorrect:
A: Holding urine for 15 minutes may not necessarily indicate treatment effectiveness.
B: Drinking less is not a direct indicator of treatment effectiveness for enuresis.
D: Kegel exercises do not directly relate to the effectiveness of conditioning therapy for enuresis.
Question 4 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: The correct answer is C: Monitor the newborn's temperature every 2 hr. This is important because phototherapy can lead to heat loss in newborns, making them prone to hypothermia. By monitoring the temperature every 2 hours, the nurse can promptly detect any changes and take appropriate measures to maintain the newborn's body temperature within a safe range. Checking the newborn's eyes every 8 hours (
A) is not directly related to the management of hyperbilirubinemia or phototherapy. Placing mittens on the newborn's hands (
B) is not necessary for this situation. Applying lotion to the newborn's skin (
D) is also not relevant to managing hyperbilirubinemia.
Question 5 of 5
A nurse is planning care for a preschooler who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Establish a reward system. Preschoolers with autism spectrum disorder often respond well to structured routines and positive reinforcement. By implementing a reward system, the nurse can encourage desired behaviors and provide motivation for the child to engage in activities. This intervention helps in shaping behavior and promoting learning. Maintaining extended eye contact (
A) may be overwhelming for children with autism. Engaging in cooperative play (
C) may be challenging as preschoolers with autism may struggle with social interactions. Holding the child during assessments (
D) may cause distress and resistance. Overall, establishing a reward system is the most effective strategy for fostering positive behavior in children with autism spectrum disorder.