ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
3-year-old child
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: A
Rationale: The correct answer is A: "You will only feel a little stick." This statement is appropriate for a 3-year-old child as it is reassuring, concise, and prepares the child for the sensation of the injection without causing unnecessary fear. It uses simple language that a young child can understand and minimizes anxiety.
Choice B is incorrect because it incentivizes the child not to cry, which may create unnecessary pressure and stress for the child.
Choice C is incorrect because it oversimplifies the purpose of the medication and may lead to misconceptions about its effects.
Choice D is incorrect as it gives the child too much control over the situation, which may not be appropriate for a medical procedure.
In summary, choice A is the most appropriate as it is clear, reassuring, and provides necessary information without causing distress.
Extract:
Infant with heart failure who vomited after digoxin
Question 2 of 5
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the next dose as prescribed. In this scenario, the infant vomited after receiving digoxin, which is a common side effect of the medication. However, it does not mean that the dose was not absorbed. Re-administering the dose ensures that the infant receives the necessary medication for heart failure. Mixing the medication with formula (
B) may alter its absorption. Giving an antiemetic (
C) is not necessary unless vomiting persists. Increasing fluid intake (
D) is not directly related to addressing the vomiting after digoxin administration.
Extract:
Adolescent client
Question 3 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Discard the first voided specimen. This is important because the first void may contain residual urine from the previous day, so discarding it ensures an accurate 24-hour collection. Saving the final specimen separately (
A) is unnecessary and may lead to inaccurate results. Cleansing the perineum with povidone-iodine (
B) is not required for a urine collection. Voiding every hour (
D) would disrupt the 24-hour collection process.
Extract:
Child with HIV
Question 4 of 5
A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will ensure that my child is tested for tuberculosis every year." This statement indicates an understanding of the teaching because children with HIV are at a higher risk for tuberculosis. Regular testing is essential for early detection and treatment.
Incorrect answers:
A: Incorrect because doubling medications without medical advice can be harmful.
B: Incorrect because childhood immunizations should not be repeated in remission.
D: Incorrect because transmission risk doesn't decrease in 2 weeks; consistent treatment is necessary.
Extract:
Infant with necrotizing enterocolitis
Question 5 of 5
A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?
Correct Answer: A,D
Rationale: The correct answers are A and D. Necrotizing enterocolitis is characterized by symptoms like vomiting due to inflammation and damage in the intestines, and a rounded abdomen from gas accumulation. Tachypnea may occur due to pain or distress but is not a specific finding. Hypertension is not typically associated with necrotizing enterocolitis in infants.