ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
School-age child with autism spectrum disorder
Question 1 of 5
A nurse is planning care for a school-age child who has autism spectrum disorder. Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Introduce the child to new situations slowly. For a child with autism spectrum disorder, new situations can be overwhelming and lead to anxiety. By introducing the child to new situations slowly, the nurse can help the child feel more comfortable and reduce stress. This approach allows the child to gradually adapt and build confidence. Staying with the child for long periods of time (
A) may lead to dependency and hinder the child's independence. Giving the child three options when making choices (
B) may be too overwhelming and cause confusion. Explaining procedures in detail to the child (
C) may be helpful, but it may not address the main issue of introducing the child to new situations slowly.
Extract:
Preschool-age child with heart failure
Question 2 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:
Preschool-age child with sleep terrors
Question 3 of 5
A nurse is teaching a parent of a preschool-age child about management of sleep terrors. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Remain uninvolved until the child awakens. During sleep terrors, the child is not fully awake and may become agitated if disturbed. Interfering can prolong the episode. Other choices are incorrect because B can reinforce the behavior, C may not be necessary for all cases, and D can disrupt sleep hygiene.
Extract:
6-month-old infant with gastroenteritis
Question 4 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 5 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: D
Rationale: The correct answer is D. An 18-month-old toddler with a heart rate of 68/min should be reported to the provider as it is outside the normal range for that age group (normal is 80-130/min). This finding could indicate bradycardia, which may be a sign of a potential cardiac issue or other underlying health concern.
Choices A, B, and C are within normal ranges for their respective age groups and would not typically require immediate reporting to the provider. Reporting D helps ensure prompt evaluation and appropriate intervention if needed.