ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 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: D
Rationale: The correct answer is D: Establish a reward system. This intervention is appropriate for a preschooler with autism spectrum disorder as it helps reinforce positive behaviors and encourages desired actions. By using a reward system, the nurse can motivate the child to engage in specific activities or tasks. Holding the child during assessments (
A) may not be appropriate as it can cause sensory overload. Maintaining extended eye contact (
B) may be overwhelming for a child with autism. Engaging in cooperative play (
C) may be challenging for a child with autism who may struggle with social interactions.
Extract:
A nurse is teaching a child who has asthma about using a metered-dose inhaler with a mouthpiece.
Question 2 of 5
Identify the sequence of steps the nurse should instruct the child to take.
Order the Items
Source Container
Correct Answer: A,C,B,D
Rationale: The correct order is A, C, B, D. First, the child should depress the canister while inhaling slowly (
A) to ensure proper medication delivery. Holding the breath for 10 seconds (
C) allows for optimal absorption. Removing the inhaler from the mouth (
B) prevents further inhalation. Finally, exhaling slowly through the nose (
D) helps in maintaining the medication in the respiratory tract. Other choices are incorrect as they do not follow the logical sequence required for effective inhaler use.
Extract:
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk.
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Offer commercially prepared formula. This is the most appropriate choice as it ensures the infant receives proper nutrition and avoids potential risks associated with other options.
Choice B (Switch to soy milk) is not recommended for infants due to potential allergies.
Choice C (Reinitiate breastfeeding) may not be feasible or safe for all mothers.
Choice D (Warm goat's milk before feeding) is not recommended as goat's milk lacks essential nutrients for infants. Overall, option A is the safest and most suitable choice for infant nutrition.
Extract:
Question 4 of 5
A nurse is reviewing the admission prescriptions for a 6-year-old child who has cystic fibrosis. For which of the following prescriptions should the nurse contact the child's provider?
Correct Answer: B
Rationale: The correct answer is B: Perform airway clearance therapy prior to bronchodilator medications. For a child with cystic fibrosis, airway clearance therapy helps to clear mucus from the lungs, improving breathing. Performing this therapy before using bronchodilator medications ensures that the airways are cleared for optimal delivery of the bronchodilator. Contacting the provider is important to confirm the correct sequence of treatments and to avoid any potential adverse effects or interactions.
Incorrect choices:
A: Administering water-miscible vitamins A, D, E, and K is a standard treatment for cystic fibrosis and does not require immediate provider contact.
C: Encouraging intake of a high-calorie, high-protein diet is also a common recommendation for children with cystic fibrosis to support growth and weight gain.
D: Using the airway clearance therapy device every 2 hours while awake is a frequent regimen for managing cystic fibrosis and does not warrant
Question 5 of 5
A nurse is caring for a toddler who has impetigo. Which of the following actions by the nurse indicates an understanding of how impetigo is spread?
Correct Answer: B
Rationale: The correct answer is B: Wearing gloves when assessing the toddler. Impetigo is primarily spread through direct contact with the infected skin or items contaminated with the bacteria. Wearing gloves during assessment prevents the nurse from coming into direct contact with the lesions, reducing the risk of spreading the infection.
A: Initiating droplet precautions is not necessary for impetigo as it is not transmitted through respiratory droplets.
C: Placing the toddler in a negative airflow room is not required for impetigo, as it is not an airborne infection.
D: Providing a protective environment is a broad term and does not specifically address the mode of transmission of impetigo.