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:
Preschooler with new diagnosis of celiac disease
Question 2 of 5
A nurse is caring for a preschooler who has a new diagnosis of celiac disease. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Pale, oily stools. In celiac disease, the body cannot tolerate gluten, leading to damage in the intestines. This impairs fat absorption, causing pale, oily stools due to excess fat content. Hematemesis (choice
A) is vomiting blood, not typically associated with celiac disease. Increased hemoglobin level (choice
B) is not a common finding in celiac disease as it is more related to iron-deficiency anemia seen in later stages. Redcurrant, jelly-like stools (choice
C) are indicative of intussusception, not celiac disease.
Therefore, the correct answer is D due to the malabsorption of fats in celiac disease.
Extract:
Question 3 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:
Child at end-of-life stage
Question 4 of 5
A nurse is caring for a child on a pediatric unit who is at the end-of-life stage. Which of the following actions should the nurse take to help the sibling cope with the child's diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Consult the Child Life Specialist to speak with the sibling. This is the best option because Child Life Specialists are trained to help children cope with illness and loss. They can provide age-appropriate explanations, emotional support, and coping strategies for the sibling. This will help the sibling process their feelings and understand what is happening in a safe and supportive environment.
Summary of incorrect choices:
B: Discouraging the sibling from talking about their feelings is not helpful as it can lead to emotional suppression and increased distress.
C: Limiting the sibling's time at the hospital may isolate them from the child and prevent them from saying goodbye or being involved in the process.
D: Having the sibling leave the room during the child's care can disrupt the sibling bond and prevent them from being present for their sibling in a difficult time.
Extract:
Question 5 of 5
A nurse in a pediatric clinic is planning care for four children. The nurse should anticipate a provider's prescription for an auditory evaluation for which of the following children?
Correct Answer: B
Rationale: The correct answer is B. A 3-month-old infant discharged after bacterial meningitis is at risk for hearing loss due to potential damage to the auditory nerve or inner ear structures. Early detection is crucial for intervention.
Choice A is incorrect because stuttering is not a direct indication for an auditory evaluation.
Choice C is incorrect as erythromycin does not typically affect hearing.
Choice D is incorrect as loose stools and babbling are not indicative of needing an auditory evaluation at this age.