ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Infant after surgical repair of a cleft palate
Question 1 of 5
A nurse is providing discharge teaching to the guardians of an infant who is being discharged after surgical repair of a cleft palate. Which of the following educational topics should the nurse include in the discharge teaching?
Correct Answer: B
Rationale: The correct answer is B: Apply antibiotic ointment to the suture line for 3 days postoperatively. This is important to prevent infection and promote wound healing. Elbow restraints are not necessary post-cleft palate surgery. Using straws can introduce air into the surgical site, leading to complications. Disturbing crusts on the suture line can disrupt wound healing.
Extract:
20-year-old adolescent with syphilis
Question 2 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: D
Rationale: The correct answer is D: "I have to notify the public health department." This statement is important in the case of syphilis because it is a notifiable disease, meaning healthcare providers are required by law to report cases to the public health department for tracking and monitoring. By notifying the public health department, they can initiate contact tracing, treatment follow-up, and prevent further spread of the disease.
A: Reviewing side effects of metronidazole is not directly related to syphilis management.
B: Contacting the adolescent's parents may violate confidentiality and may not be necessary.
C: Asking the adolescent to come back for retesting is important but not as crucial as notifying the public health department.
Summary: The correct answer ensures appropriate public health measures are taken, while the other choices are either not directly related to the disease or not as critical in the management of syphilis.
Extract:
Child recently admitted for suspected rheumatic fever
Question 3 of 5
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: C,D,E
Rationale: The correct laboratory tests for confirming rheumatic fever are C-reactive protein (CRP), Antistreptolysin O (ASO) titer, and Erythrocyte sedimentation rate (ESR). CRP is elevated in inflammation, ASO titer indicates recent streptococcal infection, and ESR is elevated in inflammatory conditions like rheumatic fever. BUN (
A) is not specific to rheumatic fever. PTT (
B) is a coagulation test and not related to the diagnosis. Choosing C, D, and E is crucial for confirming rheumatic fever due to their specificity to the disease process.
Extract:
Question 4 of 5
A nurse is performing a physical assessment for a preschooler. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Check visual acuity by using the tumbling E eyechart. This is the appropriate action for a preschooler as they may not yet be able to read standard eye charts. By using the tumbling E chart, which consists of capital E letters facing in different directions, the nurse can assess the child's visual acuity effectively. Auscultating the abdomen for an extended period (choice
A) is unnecessary and not relevant to a preschooler's physical assessment. Using the bell stethoscope for breath sounds (choice
B) is not appropriate for assessing a preschooler. Placing a hand on the abdomen to determine respiratory rate (choice
D) is also not a recommended method for assessing a preschooler.
Extract:
Preschooler with autism spectrum disorder
Question 5 of 5
A nurse is planning care for a preschooler who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Establish a reward system. This intervention is appropriate for a preschooler with autism spectrum disorder as it can help reinforce desired behaviors through positive reinforcement. Rewards can motivate the child to engage in activities and improve social interactions. Holding the child during assessments (
B) may not be suitable as it can cause sensory overload. Maintaining extended eye contact (
C) can be challenging for children with autism and may cause discomfort. Engaging in cooperative play (
D) may also be difficult for a child with autism due to social communication challenges.