ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Preschooler who had a tonsillectomy
Question 1 of 5
A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Notify the provider if your child is swallowing frequently. This is important because frequent swallowing may indicate bleeding post-tonsillectomy, which requires immediate medical attention.
Choice A is incorrect as using a straw can increase the risk of bleeding.
Choice C is incorrect as throat clearing can also disrupt the healing process.
Choice D is incorrect as dark brown blood between teeth is a sign of dried blood from previous bleeding, not active bleeding.
Extract:
Question 2 of 5
A nurse is preparing to administer a prescribed medication to a toddler whose parent is nearby. Which of the following actions should the nurse take to identify the toddler?
Correct Answer: B
Rationale: The correct answer is B: Check the toddler's ID band against the medical record. This is the most reliable method to accurately identify the toddler before administering medication. The ID band contains the toddler's specific information, ensuring correct patient identification. Asking another nurse (choice
A) may introduce potential for human error. Checking the room number (choice
C) does not directly verify the toddler's identity. Asking the parent (choice
D) may lead to confusion if the parent is unsure.
Extract:
Toddler with a short leg cast
Question 3 of 5
A nurse is caring for a toddler who has a short leg cast. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Pallor of the distal extremity. Pallor indicates poor blood flow, which can lead to complications like compartment syndrome. The nurse should report this finding promptly for further evaluation.
Choice A is incorrect because warmth indicates adequate circulation.
Choice B is incorrect as a positive pedal pulse is a normal finding.
Choice D is incorrect as mobility is expected with a cast in place.
Extract:
Question 4 of 5
A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct
Answer: C - "I will ensure that my child consumes a high-calorie diet."
Rationale:
1. Children with cystic fibrosis have increased energy needs due to malabsorption issues.
2. A high-calorie diet helps maintain weight and overall nutritional status in CF patients.
3. Adequate calorie intake supports growth and development, which is crucial for CF patients.
4. The statement indicates an understanding of the importance of nutritional management in cystic fibrosis.
Incorrect
Choices:
A: Annual sweat chloride testing is important for CF diagnosis but does not demonstrate understanding of ongoing care.
B: Chewing pancrelipase before eating is incorrect; it should be taken with meals for proper digestion.
D: Dornase alfa is used for mucolytic therapy in CF, not for wheezing.
E, F, G: Not provided, but they would likely be incorrect as they do not pertain to CF management.
Extract:
Adolescent with new diagnosis of type 1 diabetes mellitus
Question 5 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: D
Rationale: The correct answer is D: Consult with a nutritionist. This is essential for managing type 1 diabetes as proper nutrition plays a crucial role in blood sugar control. A nutritionist can help the adolescent understand how to balance meals, count carbohydrates, and make healthier food choices. Monitoring capillary blood glucose daily (
B) is important, but it is not specific to a recommendation for a new diagnosis. Storing opened vials of insulin for up to 60 days (
A) is incorrect as insulin should be properly stored according to manufacturer guidelines. Following up with physical therapy (
C) may be beneficial for overall health but is not a priority in managing type 1 diabetes.