ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Check the pH of the gastric secretions. This should be done first to ensure proper tube placement in the stomach. If the pH is acidic (pH < 4), it indicates the tube is in the stomach. If the pH is alkaline (pH > 6), it indicates the tube might be in the respiratory tract or intestine. This step is crucial to prevent complications such as aspiration. Setting the administration rate on the feeding pump (
B) should come after confirming tube placement. Flushing the tube with water (
C) should be done after confirming tube placement. Attaching the feeding bag tubing to the end of the NG tube (
D) should only be done after confirming proper tube placement to avoid complications.
Question 2 of 5
A nurse is teaching a newly licensed nurse about infant safety. Which of the following information should the nurse include in the teaching?
Order the Items
Source Container
Correct Answer: C
Rationale: Correct Order: C
Rationale: Providing an infant with a one-piece pacifier for non-nutritive sucking is essential for infant safety as it reduces the risk of choking or aspiration. This type of pacifier is designed to prevent any potential hazards associated with pacifier use. It is important to educate new nurses about safe practices when it comes to infant care.
Summary of Incorrect
Choices:
A: Placing a 5-month-old infant in a high chair to feed is not safe as infants of this age may not have the necessary head control or stability to sit upright in a high chair. This could lead to a risk of falls or injuries.
B: Positioning a 1-month-old infant supine on a soft mattress increases the risk of sudden infant death syndrome (SIDS). Infants should be placed on their back on a firm mattress to reduce the risk of SIDS.
D: Securing the infant's car seat behind an airbag is dangerous as airbags can cause serious
Question 3 of 5
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Place intubation equipment at the bedside. In epiglottitis, airway management is the priority due to the risk of airway obstruction. Placing intubation equipment ensures immediate access in case the toddler's airway becomes compromised. Obtaining an x-ray (
A) may delay crucial intervention. Administering antibiotics (
B) is important but not the initial priority. Initiating precautions (
C) is too general and doesn't address the immediate need.
Question 4 of 5
A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Treat everyone who came into close contact with the child. This is important because scabies is highly contagious and can easily spread to others in close contact. Treating all close contacts helps prevent further spread of the infestation.
A: Washing the child's hair with ketoconazole shampoo is not effective for treating scabies, as scabies mites burrow under the skin, not in the hair.
C: Applying petroleum jelly does not kill the scabies mites or eggs, so it is not an effective treatment.
D: Soaking combs and brushes in boiling water helps to prevent reinfestation but does not treat the actual infestation.
Question 5 of 5
A nurse is providing teaching for a 20-year-old adolescent who has syphilis. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: I have to notify the public health department. This statement is crucial in managing syphilis as it is a reportable disease. By notifying the public health department, the nurse ensures proper tracking, monitoring, and treatment of the disease to prevent its spread. It also helps in identifying and notifying potential contacts for testing and treatment.
Choices A, C, and D are incorrect as they do not address the public health implications of syphilis and may not contribute to effective disease management.