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.
Extract:
Infant was full-term at birth. Birth weight was 3.5 kg (7.7 lb). Infant is not gaining weight as expected. One week ago at outpatient visit, weight was 3.6 kg (7.9 lb). Parent reports for past 2 days infant is breathing faster during feedings and does not finish feedings. Parent also reports decreased appetite and puffiness around the infant's eyes. Parent states that the last wet diaper was about 10 hr ago. Infant admitted for diagnostic evaluation, failure to thrive, and nutritional/fluid support. Vital Signs Admission: Temperature 37.7° C (99.9° F), Heart rate 174/min while sleeping, Respiratory rate 72/min while sleeping. Assessment: Respirations: Tachypneic with moderate retractions and nasal flaring. Upon auscultation, crackles heard in all lung fields. No nasal drainage noted. Dry cough noted periodically. Skin: Pallor, scalp is diaphoretic, lower extremities are cool to touch. Cardiac: Tachycardic, regular rhythm, no murmur is heard. Peripheral pulses are full and bounding in the upper extremities and weak bilateral pedal pulses are noted. Fluids: Mucous membranes are slightly dry and pink. Skin turgor is slightly decreased. Capillary refill is 3 seconds. Noted periorbital edema and nonpitting edema of feet. Anterior fontanel is soft and slightly depressed. Diaper remains dry. Abdomen: Soft, full, round, bowel sounds are present and active. Blood pressure in right upper extremity 60/39 mm Hg, Oxygen saturation 90%. Laboratory Results: Chest x-ray: mild left ventricular hypertrophy is noted. Increased pulmonary vascular markings are noted in all lobes.
Question 2 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: C (Condition), A,B (Actions), B,C (Parameters)
Rationale: Action to Take: Provide chest physiotherapy and postural drainage, Elevate the head of the bed to a 45° angle; Potential Condition: Respiratory syncytial virus bronchiolitis; Parameter to Monitor: Intake and output, Respiratory status.
Rationale: For a client most likely experiencing respiratory syncytial virus bronchiolitis, the nurse should provide chest physiotherapy and postural drainage to help clear secretions and elevate the head of the bed to improve breathing. Monitoring intake and output helps assess hydration status, and monitoring respiratory status is crucial in evaluating the client's response to treatment and progression of the condition.
Incorrect choices: A includes conditions unrelated to the client's symptoms. B involves actions for different conditions and medications. C includes parameters not directly related to the potential condition.
Extract:
Question 3 of 5
A nurse is caring for a school-age child who is having a tonic-clonic seizure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Time the episode. Timing the seizure is crucial for determining the duration, which helps in guiding treatment decisions and assessing potential complications. Administering chlorothiazide (
A) is not indicated during a seizure. Holding the child down (
B) can be harmful and may lead to injury. Placing the child in a prone position (
C) can obstruct breathing. Monitoring the duration of the seizure (
D) is essential for proper management.
Question 4 of 5
A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus. Which of the following recommendations should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Consult with a nutritionist. This is important for a newly diagnosed adolescent with type 1 diabetes mellitus to learn about proper dietary management. A nutritionist can help create a meal plan that considers the adolescent's specific needs, ensuring they understand how food affects blood sugar levels. Option A is incorrect because opened vials of insulin should be stored according to the manufacturer's instructions. Option B is not directly related to managing diabetes. Option D is important but does not address the initial education needed for dietary management.
Question 5 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