ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Offering a prize for not crying may inadvertently reinforce crying as an expectation. This statement is not accurate because the medicine might not fix the problem or make the child feel better immediately. Assuring the child that they will only feel a little stick is not honest because the injection might hurt more than a little stick, and lying to the child can damage the trust between the nurse and the child. Allowing the child to choose the injection site allows the child to have some control and autonomy over the situation, which can reduce anxiety and fear.
Question 2 of 5
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. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Warming goat's milk before feeding does not address the issue of nutritional adequacy or the potential allergenicity of goat's milk. Soy milk may not be suitable for infants under 12 months old due to potential allergenicity and nutritional concerns. Commercially prepared infant formula is the most appropriate option for infants who are having difficulty with breastfeeding or require an alternative to breast milk. Reinitiating breastfeeding may not be feasible or appropriate if the infant is already having difficulty eating.
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: Holding urine for extended periods may indicate urinary retention, which is not the desired outcome of treatment for enuresis. Drinking less may not necessarily indicate treatment effectiveness and could lead to dehydration. Waking to urinate in response to the alarm indicates improved bladder control and responsiveness to conditioning therapy for enuresis. Kegel exercises primarily target pelvic floor muscles and may not directly address the underlying causes of enuresis.
Question 4 of 5
A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: Increased capillary refill time is not typically associated with hypoglycemia. It may indicate poor peripheral circulation. Shakiness or tremors are common signs of hypoglycemia, as the body responds to low blood sugar levels. Thirst is not typically associated with hypoglycemia. It may be a symptom of hyperglycemia, where blood sugar levels are high. While decreased appetite can occur with hypoglycemia, it is not as specific a symptom as shakiness.
Question 5 of 5
A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Correct Answer: A
Rationale: A dietitian can provide essential guidance on appropriate nutrition and caloric intake, which is crucial for managing cystic fibrosis. Occupational therapists focus on improving fine motor skills and daily living activities, which may not be the primary concern for a child with cystic fibrosis. Speech-language pathologists primarily address speech and language disorders, which may not be directly related to cystic fibrosis. Physical therapists focus on improving mobility and strength, which may be important but may not be the priority in the early management of cystic fibrosis.