ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
Correct Answer: D
Rationale: The correct answer is D: Monitor for pallor or swelling in the child's affected hand. This is the priority information to include because it indicates a potential complication, such as impaired circulation or compartment syndrome, which requires immediate attention to prevent further harm. Pallor or swelling in the affected hand could be signs of decreased blood flow or increased pressure within the cast, leading to tissue damage. It is crucial to monitor these signs closely to prevent any serious consequences.
Explanations for why the other choices are incorrect:
A: Using a hair dryer on a cool setting to relieve itching is not a priority compared to monitoring for circulation issues.
B: Examining the child for skin irritation at the cast edges is important but not as critical as monitoring for pallor or swelling.
C: Restricting strenuous activities for 3 days is important for proper healing but does not address immediate complications.
Overall, monitoring for pallor or swelling is the priority as it requires immediate action to prevent potential complications.
Question 2 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Walking the bicycle through intersections is a crucial safety measure to prevent accidents. This instruction ensures that the child is visible to drivers and reduces the risk of collisions. Additionally, walking the bicycle allows the child to have better control and stability while navigating intersections.
Incorrect
Choices:
A: Incorrect because the child's feet should be able to touch the ground comfortably while seated on the bicycle for stability and safety.
C: Incorrect because riding the bicycle against the flow of traffic increases the risk of accidents as drivers may not anticipate the child's movements.
D: Incorrect because keeping the bicycle at least 3 feet from the curb is a guideline for riding on the street, not for general bicycle safety.
E, F, G: No other options provided.
Extract:
A nurse is preparing to collect a capillary blood specimen from the heel of a 4-month-old infant.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B because puncturing the outer aspect of the heel is the appropriate technique for obtaining a blood sample in a heel stick procedure. This area has a rich blood supply, making it ideal for sampling.
Choice A is incorrect because applying a cool pack can cause vasoconstriction, making it harder to obtain a sample.
Choice C is incorrect as using a surgical blade is not recommended due to the risk of injury and contamination.
Choice D is incorrect because wiping the site with alcohol after the puncture can introduce contaminants. Overall, puncturing the outer aspect of the heel is the safest and most effective method for obtaining a blood sample in this scenario.
Extract:
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling.
Question 4 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Provide a doll for your 3-year-old child to imitate parental behaviors." This statement is correct because it encourages the child to engage in symbolic play, which can help them process and understand the upcoming changes in the family dynamics with the arrival of a newborn. By imitating parental behaviors with a doll, the child can learn about caregiving and prepare for the new sibling.
Statements B, C, and D are incorrect because they do not provide specific guidance on how to help the child adjust to the new situation. Statement B could cause unnecessary stress for the child by suggesting a sudden change in routines. Statement C may lead to confusion or unrealistic expectations for the child about the new playmate. Statement D does not address the child's emotional readiness for the transition from a crib to a bed.
In summary, providing a doll for the child to imitate parental behaviors is the most appropriate and helpful suggestion for preparing a 3-year-old child for the arrival of
Extract:
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: B
Rationale: The correct answer is B: Rounded abdomen. Necrotizing enterocolitis (NE
C) is characterized by abdominal distention due to gas and fluid accumulation in the bowel wall. This results in a rounded abdomen appearance. Hypertension (
A) is not typically associated with NEC. Vomiting (
C) is a common symptom in infants but not specific to NEC. Tachypnea (
D) may occur due to sepsis or respiratory distress, but it is not a hallmark finding of NEC.